| Doctor Name: | DR. CHRISTOPHER MICHAEL WONG |
| NPI Number: | 1124020623 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A63500 |
| Business Practice Address: | 8622 Garvey Ave Suite 103 Rosemead, CA - 91770 |
| Business Phone Number: | 6262806898 |
| Business Fax Number: | 6262806899 |
| Mailing Address: | 315 W Wistaria Ave, ARCADIA |
| State: | CA |
| Postal Code: | 91007 |
| Phone Number: | 6264470721 |
| Fax Number: | 6264470721 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 11/10/2005 |
| NPI Reactivation Date: | 12/13/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | A63500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |