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NPI 1326383894

NPI 1326383894 : SAI-KIT WONG DO PC : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1326383894
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAI-KIT WONG DO PC 
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Dates
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    Enumeration Date     |    12/10/2012
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    Last Update Date     |    09/22/2014
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Provider Practice Location Address
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    Address Line         |    1154 N EUCLID ST 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-1955
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    Country              |    US
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    Telephone            |    714-635-6272
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    Fax                  |    714-635-0943
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2757 
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    City                 |    ORANGE
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    State                |    CA
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    Zip                  |    92859-0757
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    Country              |    US
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    Telephone            |    714-973-2650
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    Fax                  |    714-973-2655
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SAI-KIT  WONG 
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    Credential           |    DO
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    Telephone            |    714-636-0342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    20A10075
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    License Number State |    CA
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