NPI 1164790507
Jeffrey Wong, MD
Practice location
- Address
- 18785 Brookhurst St STE 100, Fountain Valley, CA 92708-7300
- Phone
- (714) 500-5056
- Fax
- (949) 540-7148
- Mailing address
- 24331 El Toro Rd STE 200, Laguna Woods, CA 92637-3116
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1164790507
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Dec 2011
- Record last updated
- 22 Apr 2019
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.