Dr. Kenneth L Wong, Pharm.D.
Pharmacist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1033391925
StatusActive
Last updated in NPPESDec 3, 2007
Details
- NPI
- 1033391925
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth L Wong
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2007
- Last updated
- Dec 3, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH 36523 | CA | Yes |
Practice location
221 Westwood Plaza Room 222Los Angeles, CA 90095-0001
Phone 310-794-2244 · Fax 310-267-2014
Mailing address
221 Westwood Plaza Room 222Los Angeles, CA 90095-0001
Phone 310-794-2244 · Fax 310-267-2014
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