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Gavriel Wong

NPI 1477499614 · on the registry since 2026 · sole proprietor

Practice

Address
12395 Lewis St Ste 102
Garden Grove, CA 92840
Phone
(760) 634-1125
Clinicians at this address
340

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California