KIN-YUNG ARIES WONG (NPI# 1639680200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639680200 |
| Entity Type | Individual |
| Full Name | KIN-YUNG ARIES WONG |
| Practice Address |
1207 E Fruit St Santa Ana CA 92701 |
| Mailing Address |
1207 E Fruit St Santa Ana CA 92701-4206 |
| Practice Telephone | 7149539373 |
| Mailing Telephone | 7149539373 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-07-16 |
| 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 |
|---|---|---|---|
| CA | 3704 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3288 El Cajon Blvd Ste 13, San Diego, CA 921041430 | 6195215720 |
| Street Address |
1207 E FRUIT ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295812626 | Phoenix House Orange County, Inc. | Counselor | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2006-11-01 |
| 1144821521 | Kathryn Elizabeth Comstock | Counselor | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2020-11-03 |
| 1811597974 | Emily Jessica Bujan | Licensed Vocational Nurse | 1207 E Fruit St, Santa Ana, CA 92701-4296 | 2020-10-28 |
| 1215537592 | Teresita Garcia | Counselor | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2020-10-27 |
| 1285231613 | Vanessa Cardoza | Counselor | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2020-10-08 |
| 1144827601 | Dolores Benison-glover | Substance Abuse Rehabilitation Facility | 1207 E Fruit St, Santa Ana, CA 92701-4296 | 2020-10-07 |
| 1821695289 | Czarina Cher Lapus Domantay | Licensed Vocational Nurse | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2020-10-07 |
| 1740887314 | Brett Michael Layton | Marriage & Family Therapist | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2020-10-06 |
| 1912504531 | Jorge Alejandro Sanchez Delgado | Licensed Psychiatric Technician | 1207 E Fruit St, Santa Ana, CA 92701-4296 | 2020-10-06 |
| 1477160976 | Melissa Leanne Lopez | Counselor | 1207 E Fruit St, Santa Ana, CA 92701-4206 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1437780236 | Spencer Addison Layman | Counselor | 31 E Macarthur Cres Apt E215, Santa Ana, CA 92707-5965 | 2020-01-30 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1083267314 | Sierra Lynn Smith | Counselor | 1241 E Dyer Rd Ste 120, Santa Ana, CA 92705-5611 | 2019-07-16 |
| 1437718103 | Jeremy John Rintalan | Counselor | 600 W Santa Ana Blvd Ste 18-109, Santa Ana, CA 92701-4558 | 2019-06-06 |
| 1609430081 | Michael Ramos | Counselor | 600 W Santa Ana Blvd Ste 109, Santa Ana, CA 92701-4582 | 2019-04-30 |
| 1164800512 | Carol J Doll | Counselor | 2101 E First Street, Santa Ana, CA 92705 | 2015-05-18 |
| 1467845073 | Jacqueline Kademian | Counselor | 666 S Harbor Blvd, Santa Ana, CA 92704-1384 | 2015-03-07 |
| 1245667849 | Joseph M Montanez | Counselor | 1200 N Main St., Ste. 201, Santa Ana, CA 92701 | 2013-09-27 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in SANTA ANA | ||||
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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.