Healthcare Provider Details

I. General information

NPI: 1326383894
Provider Name (Legal Business Name): SAI-KIT WONG DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1154 N EUCLID ST
ANAHEIM CA
92801-1955
US

IV. Provider business mailing address

PO BOX 2757
ORANGE CA
92859-0757
US

V. Phone/Fax

Practice location:
  • Phone: 714-635-6272
  • Fax: 714-635-0943
Mailing address:
  • Phone: 714-973-2650
  • Fax: 714-973-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number20A10075
License Number StateCA

VIII. Authorized Official

Name: SAI-KIT WONG
Title or Position: PRESIDENT
Credential: DO
Phone: 714-636-0342