DR. TIMOTHY WONG (NPI# 1871077750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871077750 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY WONG |
| Credential | DDS |
| Practice Address |
1728 S San Gabriel Blvd San Gabriel CA 91776-3986 |
| Mailing Address |
300 W Valley Blvd # E100 Alhambra CA 91803-3338 |
| Mailing Telephone | 3233506383 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
34587 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
103179 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043588775 | Timothy Kenji Wong | Psychologist | 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405-3230 | 2011-12-08 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1639473978 | Timothy David Wong | Dentist | 85 4th Ave, 2c, New York, NY 10003-5205 | 2010-12-30 |
| 1851461065 | Timothy C Wong | Optometrist | 6430 W Sunset Blvd Ste 703, Los Angeles, CA 90028-7910 | 2006-11-08 |
| 1417913864 | Timothy Wong | Family Medicine | 1851 Marsh Rd, Plaza IIi, Wilmington, DE 19810-4505 | 2006-04-25 |
| 1316573256 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-03-22 |
| 1699236042 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0293 | 2019-03-28 |
| 1467947556 | Timothy L Wong | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2018-06-29 |
| 1760988901 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-04-05 |
| 1538676804 | Timothy Wong | Pharmacist | 165 E Foothill Blvd, Arcadia, CA 91006-2506 | 2018-01-08 |
| Street Address |
1728 S SAN GABRIEL BLVD |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639182488 | Johnson Ling-hung Chung | Dentist | 1728 S San Gabriel Blvd, San Gabriel, CA 91776 | 2006-08-14 |
| 1306859160 | Jenny Chen Chung | Dentist | 1728 S San Gabriel Blvd, San Gabriel, CA 91776 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1689074734 | Son Nguyen Dds | Dentist | 730 East Valley Blvd, San Gabriel, CA 91776 | 2014-08-26 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| Find all providers in zip 91776 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862660 | Stephanie Chen | Dentist | 1120 S San Gabriel Blvd Ste 100, San Gabriel, CA 91776-3160 | 2018-08-28 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1700301728 | David C Yang | Dentist | 1324 S Gladys Ave, San Gabriel, CA 91776-3624 | 2017-08-10 |
| 1316333156 | David S Lee | Dentist | 801 E Valley Blvd Ste 205, San Gabriel, CA 91776-3697 | 2015-04-08 |
| 1083013288 | David Te Fu Kuo | Dentist | 921 S San Gabriel Blvd, San Gabriel, CA 91776-2743 | 2014-08-14 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1598074981 | Jeffrey Jinwoo Rho | Dentist | 8900 Greenwood Ave, San Gabriel, CA 91775-1247 | 2010-10-01 |
| 1336472414 | Eric L Bischoff | Dentist | 612 Adelyn Dr, San Gabriel, CA 91775-2802 | 2009-09-08 |
| 1043451735 | Shannon H. Lazarian | Dentist | 6269 Charonoak Pl, San Gabriel, CA 91775 | 2009-03-10 |
| 1578713582 | Ruey Liao | Dentist | 1822 S San Gabriel Blvd, San Gabriel, CA 91776-3930 | 2008-09-26 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
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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.