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NPI Code Detail

MEDICARE: MR. YUNG PO WONG

MEDICARE:  MR. YUNG PO 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
1183500000XPharmacist46920CA

General Provider Information

NPI Number : 1962622076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YUNG PO WONG
Provider Business Mailing Address
First Line : 521 E NORMAN AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-4828
Country : US
Telephone Number : 626-445-0373
Fax Number : 626-445-0373
Provider Business Practice Location Address
First Line : 709 N HILL ST
Second Line : SUITE 23
City : LOS ANGELES
State : CA
Zip : 90012-2361
Country : US
Telephone Number : 213-617-0088
Fax Number : 213-617-2988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2007
Last Update Date : 07/08/2007

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Directions to “ MR. YUNG PO WONG ” Practice Location

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