Whalio Doctors

NPI 1013029065

Jennifer L Wong, MD

Practitioner Cardiovascular Disease Physician Fountain Valley, CA

Practice location

Address
18111 Brookhurst St STE 5100, Fountain Valley, CA 92708-6728
Phone
(714) 546-2238
Fax
(714) 434-8145

Registered specialties (4)

Cardiovascular Disease Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence A87388 (CA)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence A87388 (CA)
Nuclear Cardiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207UN0901X Licence A87388 (CA)
Clinical Cardiac Electrophysiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0001X Licence A87388 (CA)

Registry record

NPI
1013029065
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Aug 2006
Record last updated
15 Dec 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.