Wong, Lai Man

Wong, Lai Man is an individual health care provider with primary practice located at 150 Paularino Ave Ste 182 , Costa Mesa CA 92626-3301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wong, Lai Man can be contacted via phone (800) 482-5174.

Contact Information

Primary practice address
150 Paularino Ave Ste 182 Costa Mesa CA 92626-3301
Phone: (800) 482-5174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006175 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60746640 Washington

Profile Details

NPI number 1558894741
LBN Legal business name Wong, Lai Man
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2017
Last updated Dec 6th, 2021 - about 5 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 1558894741 NPPES
Washington Other G8967989 MEDICARE

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