LI CHIUNG WONG (NPI# 1841392032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841392032 |
| Entity Type | Individual |
| Full Name | LI CHIUNG WONG |
| Credential | MD |
| Practice Address |
420 S Glendora Ave West Covina CA 91790-3001 |
| Mailing Address |
2300 Greenfield Ave Arcadia CA 91006-5225 |
| Practice Telephone | 6269195724 |
| Mailing Telephone | 6262540854 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A60736 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A607360 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992281620 | Li Shao Wong | Acupuncturist | 2034 Forest Ave Ste 1b, San Jose, CA 95128-4809 | 2018-07-16 |
| 1407148752 | Li Wei Wong | Behavioral Analyst | 106 S Mentor Ave, Suite 150, Pasadena, CA 91106-2936 | 2011-05-04 |
| Street Address |
420 S GLENDORA AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477505014 | Kimberly Jean Amato | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2006-05-16 |
| 1619469335 | Sarah Burton | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-05-30 |
| 1306341797 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-03-27 |
| 1073026324 | Crystal Ortiz | Dietitian, Registered | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2017-11-08 |
| 1083126403 | Gina M Liang | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2017-10-25 |
| 1285007302 | Magda Ulloa | Registered Nurse | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-11-11 |
| 1760851752 | Arlene Guzman | Counselor | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-09-19 |
| 1750766812 | Claudia Pineda | Social Worker | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-29 |
| 1396128690 | Charlene Schultz | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-04 |
| 1962884973 | Cheryl Alegria | Counselor | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982093761 | Tina Lai Wong | Pediatrics | 2657 E Charlinda St, West Covina, CA 91791-2901 | 2015-01-15 |
| 1003188160 | Mayflower Medical Group, Inc. | Pediatrics | 140 N Orange Ave., Suite 100, West Covina, CA 91790-2032 | 2012-02-06 |
| 1639223837 | Yunchul John Pak | Pediatrics | 1433 W Merced Ave #205, West Covina, CA 91790 | 2007-01-23 |
| 1275690927 | Kim Associates Medical Clinic, Inc. | Pediatrics | 1433 W Merced Ave Ste 217, West Covina, CA 91790-3402 | 2007-01-02 |
| 1366518342 | Pankaj Nanubhai Mistry | Pediatrics | 933 S Sunset Ave Ste 101, West Covina, CA 91790-3410 | 2006-11-28 |
| 1336227594 | Harbhajan Kalsi Hanjan | Pediatrics | 906 South Sunset Ave, Suite 105, West Covina, CA 91790-3400 | 2006-11-02 |
| 1417031642 | Rosa Go Cu | Pediatrics | 933 S Sunset Ave #206, West Covina, CA 91790 | 2006-10-24 |
| 1508953894 | Eva Y Chan | Pediatrics | 2707 E Valley Blvd Ste 215, West Covina, CA 91792-3197 | 2006-10-06 |
| 1447277413 | Aarti Kulshrestha | Pediatrics | 1433 W Merced Ave Ste 103, West Covina, CA 91790 | 2006-07-16 |
| 1376543389 | Linda Yang | Pediatrics | 1135 S. Sunset Ave., West Covina, CA 91790 | 2005-08-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.