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1164790507
JEFFREY WONG
FOUNTAIN VALLEY, CA
NPI
1164790507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA A114599)
Enumeration Date
2011-12-13
Last Update Date
2019-04-22
Business Address
JEFFREY WONG M.D.
18785 BROOKHURST ST STE 100
FOUNTAIN VALLEY, CA 92708-7300
Phone number: 714-500-5056
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Mailing Address
JEFFREY WONG M.D.
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637-3116
Phone number: 949-586-3200
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