NPI 1063734036

Amy Wong D.D.S., INC

Organisation Point of Service San Gabriel, CA

Practice location

Address: 1404 S San Gabriel Blvd STE a, San Gabriel, CA 91776-3603
Phone: (626) 863-8578

Authorised official

Name: Amy Wong
Title: President
Phone: (626) 863-8575

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 56140 (CA)

Other Point of Service providers in California →

Registry record

NPI: 1063734036
Entity type: Organization
NPI issued: 18 Feb 2010
Record last updated: 2 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.