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DR. DEREK ALAN WONG M.D. NPI 1134199946


NPI Information

NPI: 1134199946
Provider Name: DR. DEREK ALAN WONG, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
10833 LECONTE AVE
MDCC 12-334
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-6581
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DR. Derek Alan Wong, M.D. is a clinical genetics (m.d.) medical genetics in Los Angeles, CA with 34 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Derek Alan Wong, M.D. NPI is 1134199946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

10833 LECONTE AVE
MDCC 12-334
LOS ANGELES, CA
ZIP 90095-732
Phone: (310) 206-6581
Fax: (310) 206-8616

The NPI 1134199946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 1/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)G73118CALIFORNIAYes
2207SG0202XMedical GeneticsClinical Biochemical GeneticsG73118CALIFORNIANo
3208000000XPediatricsG73118CALIFORNIANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.