KELLY WONG DO INC (NPI# 1427361617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427361617 |
| Entity Type | Organization |
| Organization Name | KELLY WONG DO INC |
| Practice Address |
711 W College St Ste 208 Los Angeles CA 90012-1093 |
| Practice Telephone | 6268264899 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | KELLY WONG (PRESIDENT) |
| Authorized Official Telephone | 6268264899 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A10595 | CA | Ambulatory Health Care Facilities |
| Street Address |
711 W COLLEGE ST STE 208 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376656967 | Kai Y Wong | Family Medicine | 711 W College St Ste 208, Los Angeles, CA 90012-1093 | 2006-08-16 |
| 1811449598 | Dr. Tin S Wong Do Medical Corporation | Clinic/Center | 711 W College St Ste 208, Los Angeles, CA 90012-1093 | 2016-10-28 |
| 1215106448 | Kelly Tim Tim Wong | Family Medicine | 711 W College St Ste 208, Los Angeles, CA 90012-1093 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1376036178 | Rolando S. Mercader M.d. Inc. | Clinic/Center | 201 S Alvarado St Ste 600, Los Angeles, CA 90057-2386 | 2018-06-07 |
| 1669909958 | David Rekar Md, Inc | Clinic/Center | 866 N Vermont Ave Ste 3a, Los Angeles, CA 90029-3587 | 2017-05-17 |
| 1639604895 | Family Health Clinic Inc. | Clinic/Center | 133 S Vermont Ave, Los Angeles, CA 90004-5904 | 2017-04-25 |
| 1447618541 | Pc Medical Group Inc | Clinic/Center | 3663 W 6th St Ste 100, Los Angeles, CA 90020-3047 | 2016-02-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
Please comment or provide details below to improve the information on KELLY WONG DO INC.
| 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.