Provider Demographics
NPI:1346313459
Name:WONG, SHIRLEY PATRICIA (DO)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:PATRICIA
Last Name:WONG
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Gender:F
Credentials:DO
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Mailing Address - Street 1:400 N PEPPER AVE
Mailing Address - Street 2:DEPT WOMEN'S HEALTH, 2ND FLOOR, MOB
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-1801
Mailing Address - Country:US
Mailing Address - Phone:909-580-3470
Mailing Address - Fax:909-580-6369
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:DEPT WOMEN'S HEALTH, 2ND FLOOR, MOB
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-3470
Practice Address - Fax:909-580-6369
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2014-03-14
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Provider Licenses
StateLicense IDTaxonomies
CA20A8691207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology