Free National NPI Number Registry
Dr. Calbert A Wong
Home >Dr. Calbert A Wong
NPI Number Detailed Information
Provider Information:
| Name: | Dr. Calbert A Wong |
| Gender: | M |
| Provider License Number If Given: | A52812 |
NPI Information:
| NPI: | 1902805294 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 4/8/2016 |
Provider Business Mailing Address:
| Address: | 2125 KNOLL DR SUITE # 104 Ventura, CA 93003 |
| Phone Number: | 8052567810 |
| Fax Number: | 8052567840 |
Provider Business Practice Location Address:
| Address: | 2438 N PONDEROSA DR # C-101 Camarillo, CA 93010 |
| Phone Number: | 8053839727 |
| Fax Number: | 8057640176 |
Provider Taxonomy:
| Primary: | 207RN0300X |
| Secondary (if any): | |
| State: | CA |
