Search › California › 207SG0201X

Derek Wong, M.D

NPI 1134199946 · on the registry since 2006

Practice

Address
10833 Leconte Ave
Mdcc 12-334
Los Angeles, CA 90095
Phone
(310) 206-6581
Fax
(310) 206-8616
Organisation at this address
Neil A Martin, Md, Inc
John G Frazee Md A Professional Corporation
Regents Of Univ. Of California Dental Anesthesia Service
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
207SG0201X
207SG0201X
Also registered as
207SG0202X
208000000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-09

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