GLEN WONG (NPI# 1356418859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356418859 |
| Entity Type | Individual |
| Full Name | GLEN WONG |
| Credential | CSAC |
| Practice Address |
86-226 Farrington Highway Waianae HI 96792-3128 |
| Mailing Address |
86-226 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086964211 |
| Practice Fax Number | 8086965516 |
| Mailing Telephone | 8086964211 |
| Mailing Fax Number | 8086965516 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA QUEST | 0000596742 | 01 |
| Street Address |
86-226 FARRINGTON HIGHWAY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114338613 | Malia E White | Counselor | 87-161 Kulaaupuni St, Waianae, HI 96792-3107 | 2014-05-19 |
| 1043497373 | Sarah-ann Lindsey | Counselor | 86-226 Farrington Hwy, Waianae, HI 96792-3128 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023547 | Darla Carino Sweeney | Counselor | 95-1035 Koolani Dr Apt 71, Mililani, HI 96789-4970 | 2020-08-10 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1740820026 | Kathleen Rhoads Merriam | Counselor | Wiindward Oahu Treatment Services Section, 45-691 Keaahala Road, Bldg. F, Kaneohe, HI 96744 | 2020-01-14 |
| 1982172847 | Erika Warner | Counselor | 3119 Pacific Heights Rd, Honolulu, HI 96813-1011 | 2018-11-08 |
| 1700360989 | Stanley Tam | Counselor | 815 Alakea St, Honolulu, HI 96813 | 2018-09-24 |
| 1457831661 | Chelsea Ann Torres | Counselor | 2850 Paa St Ste 200, Honolulu, HI 96819-4431 | 2018-08-16 |
| 1427544485 | Mary Elizabeth Uilani Pacheco | Counselor | 47-388 Hui Iwa St Ste 11, Kaneohe, HI 96744-4427 | 2018-07-02 |
| 1992203541 | Joshua Wayne Arnold | Counselor | 1285 Waianuenue Ave Ste 211, Hilo, HI 96720-1209 | 2018-01-29 |
| 1952817553 | Mark A Turansky | Counselor | 66-526 Kamehameha Hwy Ste Cnew, Haleiwa, HI 96712-1635 | 2017-12-18 |
| 1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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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.