Carl Wong is a Sports Medicine in Culver City, California. Carl Wong practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Carl Wong is 1609941053. The last update date is 2016-12-29.
Carl Wong's current location address is 3831 Hughes Avenue, Culver City, California. You can contact this provider via phone number 3108373668 and fax number 8883825301. The mailing address for Carl Wong is 3831 Hughes Avenue, Culver City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Wong |
|---|---|
| Address | 3831 Hughes Avenue, Culver City, California |
| Phone Number | 3108373668 |
| Fax Number | 8883825301 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1609941053 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2016-12-29 |
Provider Mailing Address Detail
| Address | 3831 Hughes Avenue |
|---|---|
| City | Culver City |
| State | California (CA) |
| Post Code | 90232 |
| Phone Number | 3108373668 |
| Fax Number | 8883825301 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | E-3240 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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What is the Carl Wong's unique identification number?
The Carl Wong has been assigned the NPI (National Provider Identifier) Number 1609941053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Carl Wong located?
The Carl Wong is located at 3831 Hughes Avenue, Culver City, CA 90232.
What is the area of specialization for Carl Wong, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carl Wong is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0000X.
On what date did the Carl Wong receive the assignment of its 1609941053 from the Centers for Medicare & Medicaid Services?
The Carl Wong was issued its 1609941053 by the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the details related to Carl Wong most recently updated or revised?
The information pertaining to Carl Wong, including its address, specialty, and other relevant details, was last updated or revised on 2016-12-29.