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Contact Information

I. LANE WONG, M.D. INC.
2500 ALTON PKWY STE 201
IRVINE, CA92606-5034
 Phone: 949-387-3888
 Fax: 949-387-3907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for I. LANE WONG, M.D. INC.

NPI # 1235299538
LBN Legal business name I. LANE WONG, M.D. INC.
Authorized official AUDREY WONG - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # G59317
CA Other 00G59317 BLUE SHIELD ID
CA Other G59317 MEDICAL LICENSE NUMBER
CA Other INF1012 MONARCH HEALTHCARE ID
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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