Whalio Doctors

NPI 1134199946

Derek Alan Wong, MD

Practitioner Clinical Genetics (M.D.) Physician Los Angeles, CA

Practice location

Address
10833 Leconte Ave Mdcc 12-334, Los Angeles, CA 90095-1732
Phone
(310) 206-6581
Fax
(310) 206-8616

Registered specialties (3)

Clinical Genetics (M.D.) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence G73118 (CA)
Clinical Biochemical Genetics Physician
Allopathic & Osteopathic Physicians Taxonomy 207SG0202X Licence G73118 (CA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence G73118 (CA)

Registry record

NPI
1134199946
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jan 2006
Record last updated
9 Jan 2015

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.