| Doctor Name: | DR. RAYMOND S WONG |
| NPI Number: | 1952391799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MEDICAL DOCTOR |
| License Number: | G13482 |
| Business Practice Address: | 100 W California Blvd Pasadena, CA - 911053010 |
| Business Phone Number: | 6263975139 |
| Business Fax Number: | 6263973409 |
| Mailing Address: | 223 N 1st Ave, Suite 201 ARCADIA |
| State: | CA |
| Postal Code: | 910067089 |
| Phone Number: | 6268211411 |
| Fax Number: | 6268210406 |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | G13482 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |