Jane P Wong in Colton - Physician Assistant

Jane P Wong - NPI 1295917342

Jane P Wong is a Physician Assistant in Colton, California. Jane P Wong practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jane P Wong is 1295917342. The last update date is 2015-11-17.

Jane P Wong's current location address is 400 N. Pepper Ave, Colton, California. You can contact this provider via phone number 9095806210 and fax number 9095801363. The mailing address for Jane P Wong is 400 N. Pepper Ave, Colton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane P Wong
Address 400 N. Pepper Ave, Colton, California
Phone Number 9095806210
Fax Number 9095801363
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1295917342
Provider Enumeration Date 2007-11-30
Last Updated Date 2015-11-17

Provider Mailing Address Detail

Address 400 N. Pepper Ave
City Colton
State California (CA)
Post Code 92324
Phone Number 9095806210
Fax Number 9095801363

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA19420
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0079700 CA --

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FAQs about Jane P Wong

What is the unique 10-digit identifier code issued to Jane P Wong by the Centers for Medicare & Medicaid Services?

The Jane P Wong has been assigned the NPI (National Provider Identifier) 1295917342 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jane P Wong is physically located?

The Jane P Wong is situated at the following address: 400 N. Pepper Ave, Colton, CA 92324.

What is Jane P Wong's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jane P Wong is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date was the 1295917342 assigned to Jane P Wong?

The Jane P Wong was issued its 1295917342 on 2007-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jane P Wong, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jane P Wong, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-17.

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