Most Relevant Information
Provider Data
| NPI Number: | 1003541285 |
| Provider Name: | KRISTI WONG PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 34998 |
Most Important Dates
| Enumeration Date: | 07/20/2022 |
| Last Updated: | 09/07/2024 |
Provider Practice Location
480 ALTA RD
SAN DIEGO
CA
921790001
Practice Location Phone/Fax
| Phone: | 6196616500 |
| Fax: |
Provider Mailing Location
480 ALTA RD
SAN DIEGO
CA
921790001
Provider Mailing Phone/Fax
| Phone: | 6196616500 |
| Fax: |