Provider Demographics
NPI:1861518862
Name:WONG, SHIRLIN (DC)
Entity type:Individual
Prefix:DR
First Name:SHIRLIN
Middle Name:
Last Name:WONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 EL CAMINO REAL STE 106
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3107
Mailing Address - Country:US
Mailing Address - Phone:650-692-9899
Mailing Address - Fax:650-692-3356
Practice Address - Street 1:1870 EL CAMINO REAL STE 106
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3107
Practice Address - Country:US
Practice Address - Phone:650-692-9899
Practice Address - Fax:650-692-3356
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 20845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor