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MICHAEL C WONG MD MEDICAL CORP NPI 1053532143


NPI Information

NPI: 1053532143
Provider Name: MICHAEL C WONG MD MEDICAL CORP

Doing Business As: CALIFORNIA WOMENS MEDICAL CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
4282 GENESEE AVE
SUITE 201
SAN DIEGO, CA
ZIP 92117
Phone: (858) 268-0300
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MICHAEL C WONG MD MEDICAL CORP is an obstetrics gynecology in San Diego, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MICHAEL C WONG MD MEDICAL CORP NPI is 1053532143. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Womens Medical Clinic.

The provider's business location address is:

4282 GENESEE AVE
SUITE 201
SAN DIEGO, CA
ZIP 92117-964
Phone: (858) 268-0300
Fax: (858) 268-3894

The provider's authorized official is Michael Chi Wai Wong .
The authorized official title is President and has the following contact phone number (858) 268-0300.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG34771CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G34771MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0104272MEDICAIDCALIFORNIA
3GR0104370MEDICAIDCALIFORNIA
4GR0104271MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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