Wong, Clifford

Wong, Clifford is an individual health care provider with primary practice located at 27200 Calaroga Ave , Hayward CA 94545-4339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wong, Clifford can be contacted via phone (510) 783-2003.

Contact Information

Primary practice address
27200 Calaroga Ave Hayward CA 94545-4339
Fax: (510) 783-2007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A68265 California

Profile Details

NPI number 1780621706
LBN Legal business name Wong, Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780621706 NPPES
California MEDICAID 00A682650

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