Wong, Johnson Kar Tsun

Wong, Johnson Kar Tsun is an sole proprietor health care provider with primary practice located at 14568A Mono Way , Sonora CA 95370-8858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wong, Johnson Kar Tsun can be contacted via phone (209) 768-1217.

Contact Information

Primary practice address
14568A Mono Way Sonora CA 95370-8858
Phone: (209) 768-1217
Fax: (209) 533-2061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G79608 California

Profile Details

NPI number 1184875759
LBN Legal business name Wong, Johnson Kar Tsun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Oct 1st, 2008 - about 18 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 1184875759 NPPES
California Other 72-1325399 PROVIDER TAX ID#
California Other ZZZ04982Z PROVIDER TAX ID#
California MEDICAID 00G796080 PROVIDER TAX ID#

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