| Doctor Name: | JAMES WONG |
| NPI Number: | 1225016447 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | NP 13343 |
| Business Practice Address: | 210 E Merced St Fowler, CA - 936252313 |
| Business Phone Number: | 5598345341 |
| Business Fax Number: | |
| Mailing Address: | 210 E Merced St, FOWLER |
| State: | CA |
| Postal Code: | 936252313 |
| Phone Number: | 5598345341 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2006 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | NP 13343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |