MEDICARE: ASHLEY MICHELLE YUNG HOP WONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P2201X	Ambulatory Care Pharmacist	83105	CA

General Provider Information

NPI Number	:	1548125032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MICHELLE YUNG HOP WONG

Provider Business Mailing Address
First Line	:	38687 BLACOW RD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-7355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 S BASCOM AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2604
Country	:	US
Telephone Number	:	408-885-5729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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