Grace I Wong, MD
Grace I Wong, MD is an Internal Medicine in Burbank, California. Qualified in 2004, 22 years ago. Practices with Verdant Medicine PC, a 3-clinician group. Licensed in Pennsylvania.
- Years since qualifying
- 22
- Licensed in
- PA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3808 W Riverside Dr Ste 201Burbank, CA 91505-4339
Phone: (818) 563-1449
Fax: (818) 563-1049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD 432620 (PA) |
|---|
Record details
| NPI number | 1053504902 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2007 |
| Last updated in NPPES | December 28, 2023 |
| Certification date | December 28, 2023 |
| Mailing address | 3808 W Riverside Dr Ste 201, Burbank, CA 91505-4339 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Verdant Medicine Pc — 3 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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