IVAN HO-BUN WONG MD NPI 1043472772

NPI Information

NPI: 1043472772
Provider Name: IVAN HO-BUN WONG, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6815 NOBLE AVE
VAN NUYS, CA
ZIP 91405
Phone: (818) 901-6600
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Ivan Ho-bun Wong, MD is a specialist in Van Nuys, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Ivan Ho-bun Wong, MD NPI is 1043472772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6815 NOBLE AVE
VAN NUYS, CA
ZIP 91405-796
Phone: (818) 901-6600
Fax: (818) 997-7826

The enumeration date for this NPI number is 6/25/2008 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A100539	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A100539	OTHER	CALIFORNIA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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