ELLEN WONG (NPI# 1174509723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174509723 |
| Entity Type | Individual |
| Full Name | ELLEN WONG |
| Credential | M.D. |
| Practice Address |
23622 Calabasas Rd Ste 250 Calabasas CA 91302-1549 |
| Practice Telephone | 8185913435 |
| Mailing Telephone | 8185913435 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G37201 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417339607 | Ellen Chang Wong | Psychiatry & Neurology | 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 | 2015-06-24 |
| 1538547799 | Ellen Wong | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-05-08 |
| 1871879478 | Ellen I Wong | Social Worker | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2011-10-26 |
| 1225335219 | Ellen Wong | Social Worker | 555 W 57th St, Ste. 1326, New York, NY 10019-2925 | 2011-02-28 |
| Street Address |
23622 CALABASAS RD STE 250 |
| City | CALABASAS |
| State | CA |
| Zip Code | 91302-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790761377 | Henri Becker | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-15 |
| 1669826723 | Blake Brisbois | Counselor | 23622 Calabasas Rd, Suite 301, Calabasas, CA 91302-1549 | 2016-04-14 |
| 1700278975 | Lisa Knakal | Marriage & Family Therapist | 23622 Calabasas Rd, Suite 104, Calabasas, CA 91302-1549 | 2015-02-25 |
| 1861882680 | Evelyn Gail Kohan | Psychologist | 23622 Calabasas Rd, Suite 252, Calabasas, CA 91302-1549 | 2015-02-01 |
| 1659774941 | Jong Won Lee | Chiropractor | 23622 Calabasas Rd, Suite 148, Calabasas, CA 91302-1549 | 2014-10-01 |
| 1669888574 | Nusha Bashardoust | Dermatology | 23622 Calabasas Rd, #339, Calabasas, CA 91302-1549 | 2014-07-11 |
| 1356768386 | Calabasas Tms Center, Inc. | Psychiatry & Neurology | 23622 Calabasas Rd, #301, Calabasas, CA 91302-1549 | 2014-03-27 |
| 1508201914 | Michael D. Rosberg Phd A Psychological Corporation | Psychologist | 23622 Calabasas Rd, Suite 151, Calabasas, CA 91302-1549 | 2013-04-30 |
| 1871844787 | Mindy Werner-crohn, M.d., Inc | Psychoanalyst | 23622 Calabasas Rd, #301, Calabasas, CA 91302-1549 | 2012-10-02 |
| 1497005029 | Ananda Lyra Fidani | Physician Assistant | 23622 Calabasas Rd, Suite 339, Calabasas, CA 91302-1549 | 2012-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881820165 | Cheryl J Kramer | General Practice | 22263 Mulholland Hwy, Calabasas, CA 91302-5156 | 2009-06-01 |
| 1790761377 | Henri Becker | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-15 |
| 1316170152 | Arsen Nalbandyan | General Practice | 23622 Calabasas Rd, Suite 349, Calabasas, CA 91302-1549 | 2009-08-27 |
| 1184601353 | Christopher Pollick | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-28 |
| 1801873070 | Marc Forrest | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-28 |
| 1164409330 | Amin Rasul | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-28 |
| 1619954898 | Joomo Yang | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-28 |
| 1609853886 | Michael S. Smith | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-28 |
| 1487630497 | Brent Harris | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-21 |
| 1629054879 | Peterson Tsai | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-20 |
| Find all providers in CALABASAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.