Clifford Chan Wong, PHARM BS
Pharmacist in Sacramento, CA. Individual provider (NPI-1).
NPI number1114207271
StatusActive
Last updated in NPPESAug 22, 2011
Details
- NPI
- 1114207271
- Entity type
- Individual (NPI-1)
- Name
- Clifford Chan Wong
- Credential
- PHARM BS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2011
- Last updated
- Aug 22, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH29961 | CA | Yes |
Practice location
6 Los Gatos CirSacramento, CA 95831-3422
Phone 916-391-5179
Mailing address
6 Los Gatos CirSacramento, CA 95831-3422
Phone 916-391-5179
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