Most Relevant Information
Provider Data
| NPI Number: | 1003666116 |
| Provider Name: | ALEXANDER WONG DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 10/25/2024 |
Provider Practice Location
1900 E 4TH ST
SANTA ANA
CA
927053910
Practice Location Phone/Fax
| Phone: | 8335742273 |
| Fax: |
Provider Mailing Location
1900 E 4TH ST
SANTA ANA
CA
927053910
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |