| NPI | 1427361617 |
|---|---|
| Other Name | KELLY WONG D O INC |
| Entity Type | Organization |
| Authorized Contact | KELLY WONG President 626-288-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A10595) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-02-28 |