National Provider Identifier Database

STEPHANIE S WONG
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

STEPHANIE S WONG
4601 DALE RD
MODESTO, CA95356-9718
Phone: 209-735-5000
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Mammography Radiologic Technologist 2471M2300X
Radiography Radiologic Technologist 2471C3402X

* Indicates primary specialty

NPI Profile & details for STEPHANIE S WONG

NPI Number 1649844655
Credentials
Entity Individual
Enumeration date 05/14/2021
Last updated 01/17/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 00102159
Hospital affiliation n/a

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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