Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 6194 | HI |
N | 208200000X | Surgeon | 6194 | HI |
N | 208600000X | Surgeon | 6194 | HI |
NPI | 1255405288 |
---|---|
Provider Name | Dr. Linda L Wong |
First Address | Honolulu, HI 96817-1605 |
Second Address | Honolulu, HI 96817-1600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00740201 | (05) | HI |
00740201 | ALOHACARE (01) | |
193563 | HMA (01) | |
F08184 | (02) | |
F08184 | KAISER PERM (01) | |
MD6194 | MDX (01) |