Sally Kim Wong in Vallejo - Surgical

Sally Kim Wong - NPI 1922105584

Sally Kim Wong is a Surgical in Vallejo, California. Sally Kim Wong practices all healthcare services and medical treatments related to Surgical. The NPI Number for Sally Kim Wong is 1922105584. The last update date is 2022-01-03.

Sally Kim Wong's current location address is 975 Sereno Dr, Vallejo, California. You can contact this provider via phone number 7076513470 and fax number 7076513484. The mailing address for Sally Kim Wong is 975 Sereno Dr, Vallejo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally Kim Wong
Address 975 Sereno Dr, Vallejo, California
Phone Number 7076513470
Fax Number 7076513484
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1922105584
Provider Enumeration Date 2006-09-17
Last Updated Date 2022-01-03

Provider Mailing Address Detail

Address 975 Sereno Dr
City Vallejo
State California (CA)
Post Code 945892441
Phone Number 7076513470
Fax Number 7076513484

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA15971
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Sally Kim Wong

What is the unique 10-digit identifier code assigned to Sally Kim Wong by the Centers for Medicare & Medicaid Services?

The Sally Kim Wong has been issued the NPI (National Provider Identifier) 1922105584 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Sally Kim Wong's facilities are situated?

The facilities of Sally Kim Wong are physically located at the following address: 975 Sereno Dr, Vallejo, CA, 945892441.

What is Sally Kim Wong's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sally Kim Wong is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

On what date did the Sally Kim Wong receive the assignment of its 1922105584 from the Centers for Medicare & Medicaid Services?

The Sally Kim Wong was issued its 1922105584 by the Centers for Medicare & Medicaid Services on 2006-09-17.

When was the Sally Kim Wong's information last updated?

The Sally Kim Wong's information was last updated on 2022-01-03.

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