Wong, Genevieve

Wong, Genevieve is an individual health care provider with primary practice located at 1316 3Rd Street Promenade Suite 201, Santa Monica CA 90401-1328. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Wong, Genevieve can be contacted via phone (800) 576-5544.

Contact Information

Primary practice address
1316 3Rd Street Promenade Suite 201 Santa Monica CA 90401-1328
Phone: (800) 576-5544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95062564 California
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 95003281 California

Profile Details

NPI number 1013388842
LBN Legal business name Wong, Genevieve
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2015
Last updated Oct 20th, 2015 - about 11 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 1013388842 NPPES
California Other 95062564 CA REGISTERED NURSE LICENSE NUMBER
California Other 95003281 CA REGISTERED NURSE LICENSE NUMBER

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