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General NPI Number Information
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NPI Number | 1841307535
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Entity Type | Individual
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Provider Name | DAVID T WONG MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 400 N PEPPER AVE ARMC - MOB SUITE 308
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City | COLTON
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State | CA
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Zip | 92324
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Country | US
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Telephone | 909-580-6210
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Fax | 909-580-1363
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Provider Business Mailing Address
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Address Line | 18523 CORWIN RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2338
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Country | US
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Telephone | 909-712-2764
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 00G806640
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 00G806640
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 00G806640
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License Number State | CA
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