Search › California › 207Q00000X
Sam Wong, D.O
NPI 1598999245 · on the registry since 2009
Practice
- Address
- 201 Waterman Rd
Ione, CA 95640 - Phone
- (209) 274-8246
- Fax
- (209) 274-4163
- Organisation at this address
- Preston Youth Correctional Facility
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-11
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