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

Stephanie Shu Fen Wong

Individual provider Radiography Radiologic Technologist · NPI 1649844655

Stephanie Shu Fen Wong is a Radiography Radiologic Technologist in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-5000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Radiography Radiologic Technologist Taxonomy 2471C3402X · Licence 00102159 (CA)
Mammography Radiologic Technologist Taxonomy 2471M2300X · Licence 00102159 (CA)

Record details

NPI number1649844655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2021
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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