Healthcare Provider Details

I. General information

NPI: 1104200922
Provider Name (Legal Business Name): KEITH WONG M.D., M.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2015
Last Update Date: 03/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 LOMITA BLVD SUITE 100
HARBOR CITY CA
90710-2076
US

IV. Provider business mailing address

150 W HEDDING ST
SAN JOSE CA
95110-1706
US

V. Phone/Fax

Practice location:
  • Phone: 310-534-7600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA145273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: