Search › California › 363A00000X
Judy Wong
NPI 1508422056 · on the registry since 2019
Practice
- Address
- 611 Maple Ave
Los Angeles, CA 90014 - Phone
- (714) 488-9129
Additional practice sites
- 901 S Flower St, Los Angeles, CA
- 1113 S Main St Ste A, Corona, CA
- 4075 Tweedy Blvd, South Gate, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-18
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