Provider Demographics
NPI:1114931151
Name:WONG, CURTIS SING FOOK (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:SING FOOK
Last Name:WONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 ROSALINE AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2543
Mailing Address - Country:US
Mailing Address - Phone:530-227-8839
Mailing Address - Fax:888-709-1015
Practice Address - Street 1:1950 ROSALINE AVE
Practice Address - Street 2:SUITE F
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2543
Practice Address - Country:US
Practice Address - Phone:530-227-8839
Practice Address - Fax:888-709-1015
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGO74386208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G743860Medicaid
CA00G743860Medicare ID - Type UnspecifiedMCARE PROV#
CA00G743860Medicaid