Provider Demographics
NPI:1528360229
Name:RONALD N. WONG. M.D., INC.
Entity Type:Organization
Organization Name:RONALD N. WONG. M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-584-6684
Mailing Address - Street 1:355 CAMPUS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4310
Mailing Address - Country:US
Mailing Address - Phone:559-584-6684
Mailing Address - Fax:559-584-6686
Practice Address - Street 1:355 CAMPUS DR
Practice Address - Street 2:SUITE B
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4310
Practice Address - Country:US
Practice Address - Phone:559-584-6684
Practice Address - Fax:559-584-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty