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Search › California › Family Medicine Physician

Jack Wong, MD

NPI 1790725539 · on the registry since 2006

Practice

Address
3200 Bristol St Ste 600
Costa Mesa, CA 92626
Phone
(805) 217-7904
Organisation at this address
Astiva Health Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-19

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