DR. KING YUE WONG (NPI# 1336471440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336471440 |
| Entity Type | Individual |
| Full Name | DR. KING YUE WONG |
| Credential | OD |
| Practice Address |
1431 7th St Suite # 201 Santa Monica CA 90401-2637 |
| Mailing Address |
316 S Kenter Ave Los Angeles CA 90049-4022 |
| Practice Telephone | 3103952106 |
| Practice Fax Number | 3104508580 |
| Mailing Telephone | 3104719618 |
| Mailing Fax Number | 3104508580 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT12461TPA | CA | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPT12461TPA | CA | Eye and Vision Services Providers |
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
OPT12461TPA | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI # (ORGANIZATION & GROUP) | 1871678557 | 01 |
| CA | SD0124610 | 05 | |
| CA | MEDICAID (2ND OFFICE) | SD0124611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043554173 | King Hwa Wong | Student in an Organized Health Care Education/Training Program | 3925 Sheridan Dr, C/o Annie Cumbo, Suite 100, Amherst, NY 14226-1738 | 2012-11-15 |
| 1942320460 | King Wong | Specialist | 1818 N Orange Grove Ave, Suite 303, Pomona, CA 91767-3028 | 2007-03-29 |
| Street Address |
1431 7TH ST SUITE # 201 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124343744 | Karen K Carrey | Occupational Therapist | 1431 7th St, Ste 203, Santa Monica, CA 90401-2637 | 2010-04-07 |
| 1417021361 | John Winton Elman | Optometrist | 1431 7th St, Ste. 101, Santa Monica, CA 90401-2637 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508781 | Dale Choi Od Inc | Optometrist | 2456 W 229th Pl, Torrance, CA 90501-5238 | 2019-06-26 |
| 1801335542 | Kelly C. Kao, O.d., A Professional Corporation | Optometrist | 1580 W El Camino Real Ste 6, Mountain View, CA 94040-2462 | 2017-02-14 |
| 1639439730 | Paul T. Woo Optometric Corporation | Optometrist | 1234 S Garfield Ave Ste 105, Alhambra, CA 91801-5068 | 2012-05-22 |
| 1437425196 | Philip C Diorio | Optometrist | 1059 Granville Dr, Newport Beach, CA 92660-6205 | 2012-03-27 |
| 1902012362 | Lillian Ing-ling Wang | Optometrist | 503 Augusta Dr, Moraga, CA 94556-3002 | 2007-05-15 |
| 1467575993 | Marianne Pia Hoenig | Optometrist | Binocular Vision Clinic School of Optometry, University of California Berkeley, Berkeley, CA 94720-2020 | 2007-04-09 |
| 1194845248 | James Albert Stewart | Optometrist | 6053 N Palm Ave, Fresno, CA 93704-1623 | 2007-03-30 |
| 1083769905 | Philip Ong | Optometrist | 6531 Crown Blvd Ste 4, San Jose, CA 95120-2906 | 2007-01-23 |
| 1669542916 | Arlene D Espiritu | Optometrist | 2101 Stone Blvd Ste 150, West Sacramento, CA 95691-4054 | 2006-11-08 |
| 1982704979 | Leanne Lee | Optometrist | 2321 W March Ln, Ste A, Stockton, CA 95207-5261 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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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.