Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Ebin Wong

Individual provider Physician Assistant · NPI 1477897684

Douglas Ebin Wong is a Physician Assistant in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41715 Winchester Rd, Temecula, CA 92590-4808 — (951) 308-4451

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 22671 (CA)

Record details

NPI number1477897684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESDecember 2, 2021
Certification dateMay 8, 2021
Mailing address10800 Magnolia Ave, Riverside, CA 92505-3043

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