SHI YIN WONG MD, A MEDICAL CORPORATION
Osteopathic Medicine at College St, Los Angeles, CA

License number
California G34772
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MR. SHI YIN WONG M.D
Title: OWNER
Phone: (213) 626-3589
Address
Address
407 W College St, Los Angeles, CA 90012
National Provider ID: 1619029964
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHI YIN WONG, M.D., A MEDICAL CORPORATION

407 W College St, Los Angeles, CA 90012

Registration:
Nov 5, 1980
State ID:
C1029224
Business type:
Articles of Incorporation
Presidents:
Yin Wong Shi (President),Shi-Yin Wong President, inactive
Agent:
Lynn Tran Vien,Los Angeles, CA 90012 (Physical)

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