Dr. George T Wong JR.
Obstetrician & Gynecologist
632 W Gibson Rd
Woodland
, California 95695
Dr. George T Wong JR.
Obstetrician & Gynecologist
632 W Gibson Rd
Woodland
, California 95695
(530) 666-1631
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. George T Wong JR.
- 632 W Gibson Rd
- Woodland, CA
- Zip : 95695
- Phone : (530) 666-1631
Second Address
- Dr. George T Wong JR.
- 632 W Gibson Rd
- Woodland, CA
- Zip : 95695
- Fax : (530) 661-2410
- Phone : (530) 666-1631
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Is Dr. George T Wong JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G32287 | CA |
National Provider Identifier
| NPI | 1013945534 |
|---|---|
| Provider Name | Dr. George T Wong JR. |
| First Address | Woodland, CA 95695 |
| Second Address | Woodland, CA 95695 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 04/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G322870 | (05) | CA |
| 00G322870 | BLUE SHIELD (01) | CA |
| 160018398 | RR MEDICARE (01) | CA |
| A45085 | (02) | |
| P00745244 | MEDICARE RAILROAD CARRIER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.