Ellen Wong, M.D.

NPI #1174509723 in Calabasas, California

Provider Information

NPI Number: 1174509723
Entity Type: Individual
Name: Ellen Wong, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Dec 15, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 23622 CALABASAS RD
Address 2: STE 250
City: Calabasas
State: California
ZIP Code: 91302-1549
Phone: (818) 591-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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