Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | GFE9626 | CA |
NPI | 1033448949 |
---|---|
Provider Name | Francisco M Wong |
First Address | Del Mar, CA 92014-3624 |
Second Address | Del Mar, CA 92014-3624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2009 |
Last Update Date | 24/12/2009 |