| NPI | 1730402934 |
|---|---|
| Former Legal Business Name | RANDY WONG MD LLC |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH KAI MING WONG Member 808-792-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: HI 7302) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2013-01-08 |