Mike Wong, O.D

NPI 1013982206 · on the registry since 2006 · sole proprietor

Practice

Address: 80 N Lake Ave
Suite 102
Pasadena, CA 91101
Phone: (626) 356-8088
Fax: (626) 356-8078
Organisation at this address: Israel Navarro D. D. S., Inc.
Mike V Wong Od A Professional Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California