Wong, Eric J

Wong, Eric J is an individual health care provider with primary practice located at 29472 Avenida De Las Bandera , Rancho Santa Margarita CA 92688-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wong, Eric J can be contacted via phone (949) 459-9968.

Contact Information

Primary practice address
29472 Avenida De Las Bandera Rancho Santa Margarita CA 92688-2651
Phone: (949) 459-9968
Fax: (949) 766-2565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G75361 California

Profile Details

NPI number 1104808161
LBN Legal business name Wong, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 14th, 2023 - about 3 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 1104808161 NPPES
California MEDICAID 00G753610

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