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Contact Information

JULIE WONG'S PROACTIVE CLINIC
1489 WEBSTER ST
SUITE 210
SAN FRANCISCO, CA94115-3766
 Phone: 415-346-8373
 Fax: 411-534-6080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JULIE WONG'S PROACTIVE CLINIC

NPI Number 1083871271
LBN Legal business name JULIE WONG'S PROACTIVE CLINIC
Authorized official CHARLES YOUNG - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2008
Last updated 05/16/2008 - About 18 years ago
Identifiers
CA License # 0PT101670
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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