| Doctor Name: | DR. NORMAN C K WONG |
| NPI Number: | 1174626212 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A47829 |
| Business Practice Address: | 195 E Foothill Blvd Rialto, CA - 92376 |
| Business Phone Number: | 9098743490 |
| Business Fax Number: | 9098743470 |
| Mailing Address: | 13563 Via San Remo, CHINO HILLS |
| State: | CA |
| Postal Code: | 91709 |
| Phone Number: | 9094659949 |
| Fax Number: | 9095916450 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A47829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |