Kelly Kristin Wong, Md, INC
NPI #1114006509 in Irvine, California
Provider Information
- NPI Number
- 1114006509
- Entity Type
- Organization
- Organization Name
- Kelly Kristin Wong, Md, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 4, 2006
- Last Updated
- Jul 22, 2016
Practice Location
- Address
- 4950 BARRANCA PKWY STE 201
- City
- Irvine
- State
- California
- ZIP Code
- 92604-4687
- Phone
- (949) 559-4480
Authorized Official
- Name
- KELLY KRISTIN WONG, M.D.
- Title
- M.D.
- Phone
- (949) 559-4480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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