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Solo Internal Medicine

Organization Active NPI Primary Care Clinic/Center · Sonora, CA

NPI 1902057573 · NPPES record last updated Oct 1, 2008

Key facts

NPI
1902057573
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
G079608 (CA)
Legal business name
SOLO INTERNAL MEDICINE
Practice address
14568A Mono Way
Sonora, CA 95370-8858
Phone
(209) 768-1217
Fax
(209) 533-2061
NPI assigned
Jun 19, 2007
Reactivated
Oct 1, 2008
Organization subpart
No

Authorized official

Name
Dr. Johnson Kar Tsun Wong, M.D.
Title
Physician
Phone
(209) 768-1217

National Provider Directory

Locations

1 S Forest Rd
Sonora, CA 95370
Phone (209) 532-3161

538 Ponderosa Dr
Sonora, CA 95370
Phone (209) 536-3870

14568 Mono Way
Ste A
Sonora, CA 95370
Phone (209) 533-1216

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G079608 CA Yes

Addresses

Primary practice location

14568A Mono Way
Sonora, CA 95370-8858

Mailing address

14568A Mono Way
Sonora, CA 95370-8858
Phone (209) 768-1217

Other identifiers

IdentifierTypeStateIssuer
00G796080MedicaidCA

Other names

  • Solo Internal Medicine Doing business as

Other providers in Sonora, CA

All providers in Sonora, CA · Primary Care Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.