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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

NPI Number 1033394168
LBN Legal business name CEDRIC L WONG MD INC
Authorized official CEDRIC WONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2008
Last updated 01/08/2008 - About 18 years ago
Identifiers
CA License # G74697
CA Medicaid 7242936
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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