WILSON WONG, DDS, INC (NPI# 1912189226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912189226 |
| Entity Type | Organization |
| Organization Name | WILSON WONG, DDS, INC |
| Practice Address |
2340 Irving St Suite 105 San Francisco CA 94122-1641 |
| Practice Telephone | 4157530333 |
| Practice Fax Number | 4157531899 |
| Mailing Telephone | 4157530333 |
| Mailing Fax Number | 4157531899 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. WILSON WONG (PRESIDENT/CEO) |
| Authorized Official Telephone | 4157530333 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | B36856 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | G-93552-01 | 01 |
| Street Address |
2340 IRVING ST SUITE 105 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539429 | Wilson Wong | Dentist | 2340 Irving St, Ste 105, San Francisco, CA 94122-1641 | 2005-09-23 |
| 1700267424 | Kimberly Anne Duncan | Speech-Language Pathologist | 2340 Irving St, Suite 108, San Francisco, CA 94122-1641 | 2015-06-18 |
| 1619357720 | Allison Stephens | Speech-Language Pathologist | 2340 Irving St, San Francisco, CA 94122-1641 | 2015-06-03 |
| 1386059483 | Riva Gokhale | Speech-Language Pathologist | 2340 Irving St, Suite 108, San Francisco, CA 94122-1641 | 2014-06-26 |
| 1134533722 | Stefanie Rose Burns | Speech-Language Pathologist | 2340 Irving St, San Francisco, CA 94122-1641 | 2014-06-11 |
| 1699082529 | Margaret Keys | Speech-Language Pathologist | 2340 Irving St, San Francisco, CA 94122-1641 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204347 | Christina Michelle Catalano | Physical Therapist | 764 18th Ave, East Brunswick, NJ 94122 | 2020-04-23 |
| 1528536877 | Marnie Kagan Weston | Psychologist | 1300 25th Avenue, Suite 100, San Francisco, CA 94122 | 2018-11-05 |
| 1649785510 | Maria Elena Williams | Registered Nurse | 1755 27th Ave., San Francisco, CA 94122 | 2017-12-13 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1558889378 | Brittyn Coleman Nutrition | Dietitian, Registered | 1410 Funston Ave # 1, San Francisco, CA 94122 | 2017-08-31 |
| 1295251635 | Mary Bernadette Flynn | Doula | 1738 23rd Ave, San Francisco, CA 94122 | 2017-08-17 |
| 1740710524 | Kimberly Sui Fan Fung | Registered Nurse | 1279 22nd Ave, San Francisco, CA 94122 | 2017-06-14 |
| 1902335417 | Nadia Fakhoury | Chiropractor | 4027 Judah St, San Francisco, CA 94122 | 2017-06-08 |
| 1124567383 | Demi Pham | Dentist | 2040 Judah St, San Francisco, CA 94122 | 2017-02-21 |
| 1932642998 | Michelle Avonelle Hanley-mills | Counselor | 1326 4th Avenue, San Francisco, CA 94122 | 2016-11-23 |
| Find all providers in zip 94122 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1952506578 | L'chaim Senior Center | Public Health or Welfare | 2534 Judah St # 1, San Francisco, CA 94122-1438 | 2007-06-15 |
| 1164564209 | Quan Yin Healing Arts Center | Public Health or Welfare | 455 Valencia St, San Francisco, CA 94103-3416 | 2007-02-13 |
| 1225076607 | Bay Area Psychological Testing Assoc | Public Health or Welfare | 447 Battery St, Suite 230, San Francisco, CA 94111-3205 | 2006-06-04 |
| 1205838281 | Walden House | Public Health or Welfare | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2005-08-10 |
| 1720618119 | Navid Daniel Elie | Public Health or Welfare | 1380 Howard St, San Francisco, CA 94103-2638 | 2020-01-24 |
| 1396208534 | Cindy Chimal | Public Health or Welfare | 730 Eddy St Apt 225, San Francisco, CA 94109-7848 | 2019-04-12 |
| 1467961151 | Twistor Labs, Inc. | Public Health or Welfare | 1275 Mission St, San Francisco, CA 94103-2705 | 2017-09-25 |
| 1669840898 | San Francisco Department of Health | Public Health or Welfare | 1380 Howard St Fl 3, San Francisco, CA 94103-2650 | 2015-09-03 |
| 1013261635 | Potrero Hill Health Center | Public Health or Welfare | 1050 Wisconsin St, San Francisco, CA 94107-3328 | 2012-11-05 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
Please comment or provide details below to improve the information on WILSON WONG, DDS, INC.
| 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.