Provider Demographics
NPI:1831224450
Name:WONG, ALLAN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:MICHAEL
Last Name:WONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1310 W STEWART DR
Mailing Address - Street 2:SUITE 506
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3854
Mailing Address - Country:US
Mailing Address - Phone:714-639-3914
Mailing Address - Fax:714-538-5427
Practice Address - Street 1:1310 W STEWART DR
Practice Address - Street 2:SUITE 506
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3854
Practice Address - Country:US
Practice Address - Phone:714-633-4957
Practice Address - Fax:714-639-2379
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2024-08-29
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Provider Licenses
StateLicense IDTaxonomies
CAG074464208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics