Gregory Kelii Wong, M.D.
Pediatrics, Pediatric Gastroenterology in Orange, CA. Individual provider (NPI-1).
NPI number1386977288
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1386977288
- Entity type
- Individual (NPI-1)
- Name
- Gregory Kelii Wong
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2009
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | A124939 | CA | Yes |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | N7765 | TX |
Practice location
1201 W La Veta AveOrange, CA 92868-4203
Phone 714-509-4099 · Fax 714-509-3301
Mailing address
1201 W La Veta AveOrange, CA 92868-4203
Phone 714-509-4099 · Fax 714-509-3301
Other practice locations
3030 Childrens Way
San Diego, CA 92123-4232
San Diego, CA 92123-4232
Phone 858-966-4003
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