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Contact Information

IRENE S WONG, NP
4855 ATHERTON AVE
SAN JOSE, CA95130
 Phone: 888-357-3058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for IRENE S WONG · (Female)

NPI # 1366516205
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/20/2006
Last updated 08/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 12816
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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