LARRY F WONG (NPI# 1578840872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578840872 |
| Entity Type | Individual |
| Full Name | LARRY F WONG |
| Credential | CP |
| Practice Address |
2669 Myrtle Ave Ste 101 Signal Hill CA 90755-2746 |
| Practice Telephone | 5625956445 |
| Practice Fax Number | 5624243122 |
| Mailing Telephone | 5625956445 |
| Mailing Fax Number | 5624243122 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159962 | Larry Wong | Student in an Organized Health Care Education/Training Program | 111 N Washington Ave, Scranton, PA 18503-1828 | 2019-05-14 |
| 1740602697 | Larry Wong | Specialist | 1390 Market St Ste 210, San Francisco, CA 94102-5404 | 2014-01-13 |
| 1316374606 | Larry Wong | Pharmacist | 114 Beverley Rd, Brooklyn, NY 11218-3914 | 2013-10-01 |
| 1609010990 | Larry Wong | Marriage & Family Therapist | 851 N Oakland Ave, Pasadena, CA 91104-4343 | 2009-04-30 |
| 1427001775 | Larry Wong | Anesthesiology | 10760 Warner Ave, Suite 102, Fountain Valley, CA 92708-3845 | 2006-05-18 |
| 1689641599 | Larry T Wong | Surgery | 502 N Macarthur Ave, Suite C, Panama City, FL 32401-3636 | 2006-03-01 |
| Street Address |
2669 MYRTLE AVE STE 101 |
| City | SIGNAL HILL |
| State | CA |
| Zip Code | 90755-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204063 | Alyssa Goldberg | Orthotist | 2669 Myrtle Ave Ste 101, Signal Hill, CA 90755-2746 | 2020-08-03 |
| 1861983496 | Brittany J Gonzalez | Orthotist | 2669 Myrtle Ave Ste 101, Signal Hill, CA 90755-2746 | 2018-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267136 | Esther Guerrero De Shepphard | Occupational Therapy Assistant | 2726 E Wall Street, Signal Hill, CA 90755 | 2018-09-01 |
| 1285150565 | Tricia Amantia | Counselor | 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 | 2017-08-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
| 1730228354 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1600 E. Hill St, Signal Hill, CA 90755 | 2007-02-06 |
| 1518039726 | Ayman Aljabban Dental Corporation | Dentist | 1830 E Willow St, Signal Hill, CA 90755 | 2006-11-14 |
| 1164532768 | Costco Wholesale Corporation | Pharmacy | 2200 E Willow St, Signal Hill, CA 90755 | 2006-08-30 |
| 1578510624 | Long Beach Memorial Medical Center | Home Health | 695 E 27th St, Long Beach, CA 90755 | 2006-05-27 |
| 1073569554 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 2669 Myrtle Ave, Ste 101, Signal Hill, CA 90755 | 2006-05-26 |
| 1619416898 | Carrie Hoopfer | Pharmacist | 845 East Willow Street, Signal Hill, CA 90755 | 2017-02-21 |
| Find all providers in zip 90755 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SIGNAL HILL |
| Zip Code | 90755 |
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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.