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Contact Information

CEDRIC L WONG MD INC
1580 CREEKSIDE DRIVE
SUITE 100
FOLSOM, CA95630
 Phone: 916-984-4500
 Fax: 916-984-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CEDRIC L WONG MD INC · (Female)

NPI Number 1033394168
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2008
Last updated 01/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G74697
  • CA Medicaid 7242936
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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