KAITLYN WONG (NPI# 1851917629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851917629 |
| Entity Type | Individual |
| Full Name | KAITLYN WONG |
| Practice Address |
41769 Enterprise Cir N Unit 104105 Temecula CA 92590-5626 |
| Mailing Address |
4525 Temescal Canyon Rd Apt 207 Corona CA 92883-4656 |
| Practice Telephone | 9513038255 |
| Mailing Telephone | 7608514717 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
6148 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154847374 | Kaitlyn Wong | Dietitian, Registered | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2017-08-18 |
| 1801107818 | Kaitlyn Lin Wong | Internal Medicine | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2010-06-24 |
| 1790006773 | Kaitlyn Elizabeth Ellis Wong | Student in an Organized Health Care Education/Training Program | Baystate Medical Ctr, 759 Chestnut Street, Springfield, MA 01199-0001 | 2010-06-14 |
| Street Address |
41769 ENTERPRISE CIR N UNIT 104105 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932589819 | Sydnie Bray | Specialist/Technologist | 31546 Golden Lion Dr, Temecula, CA 92591-6941 | 2015-06-04 |
| 1588065155 | Nicole Pedlowe | Specialist/Technologist | 30536 Mulberry Ct, Temecula, CA 92591-8801 | 2014-09-14 |
| 1922442078 | Cody Educational Enterprises, Inc. | Specialist/Technologist | 41769 Enterprise Circle North, Suite 101, Temecula, CA 92592 | 2013-04-19 |
| 1205449915 | Kendra Lynn Kiehn | Specialist/Technologist | 41769 Enterprise Cir N Ste 104, Temecula, CA 92590-5626 | 2020-08-24 |
| 1962063412 | Benjamin Gonzalez | Specialist/Technologist | 31205 Pauba Rd Ste 103, Temecula, CA 92592-6220 | 2019-06-25 |
| 1457825150 | Kaela Koza | Specialist/Technologist | 41769 Enterprise Cir N Ste 104, Temecula, CA 92590-5626 | 2019-01-15 |
| 1588130959 | Sarah Dawn Ogden | Specialist/Technologist | 41769 Enterprise Cir N, Temecula, CA 92590 | 2018-10-23 |
| 1407334287 | Courtney Kaye-wall Beck | Specialist/Technologist | 29377 Rancho California Rd Ste 102, Temecula, CA 92591-5206 | 2018-08-02 |
| 1659870558 | Kaylee A Petro | Specialist/Technologist | 29377 Rancho California Rd Ste 102, Temecula, CA 92591-5206 | 2018-02-06 |
| 1649792409 | Sahba Wareham | Specialist/Technologist | 29377 Rancho California Rd Ste 102, Temecula, CA 92591-5206 | 2017-07-13 |
| Find all providers in TEMECULA | ||||
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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.