Grace I Wong, M.D.

NPI #1053504902 in Burbank, California

Provider Information

NPI Number: 1053504902
Entity Type: Individual
Name: Grace I Wong, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 23, 2007
Last Updated: Dec 28, 2023

Practice Location

Address: 3808 W RIVERSIDE DR STE 201
City: Burbank
State: California
ZIP Code: 91505-4339
Phone: (818) 563-1449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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