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Provider Information for 1518044106


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Dr. ANA WONG MCDONALD Ph.D.


Sex: Female

NPI: 1518044106
Last Updated: 2014-04-07
Certification Date:

Details

NameValue
NPI1518044106
Enumeration Date2006-11-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
United States

Phone: 310-390-6612 | Fax:310-398-5690
 
Primary Practice Address 1540 E COLORADO ST
GLENDALE, CA 91205-1514
United States

Phone: 818-244-7257 | Fax:818-243-5431
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103TC0700X - Psychologist - ClinicalCAPSY17385