Wong, Michael C.
Wong, Michael C. is an individual health care provider with primary practice located at 4282 Genesee Ave Ste 201, San Diego CA 92117-4964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wong, Michael C. can be contacted via phone (858) 268-0300.Contact Information
Primary practice address
4282 Genesee Ave Ste 201
San Diego CA 92117-4964
Phone: (858) 268-0300
Fax: (858) 268-3894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G34771 | California |
Profile Details
| NPI number | 1033113600 |
|---|---|
| LBN Legal business name | Wong, Michael C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jan 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033113600 | NPPES |
| California | MEDICAID | 00G347710 | |
| California | Other | 00G347710 |
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