Healthcare Provider Details

I. General information

NPI: 1871380626
Provider Name (Legal Business Name): VICTORIA WONG MURRAY DO STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA WONG

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

465 CALDERON AVE APT 2
MOUNTAIN VIEW CA
94041-2258
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-3160
  • Fax: 505-272-9427
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRS2026-0252
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: