| NPI | 1508131129 |
|---|---|
| Doing Business As | DONNA L. WONG, DO. |
| Entity Type | Organization |
| Authorized Contact | DONNA LYNN WONG Owner/President 562-923-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6755A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A6755) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2013-02-20 |