DR. RYAN LEE WONG D.D.S. M.S. NPI 1134651300

NPI Information

NPI: 1134651300
Provider Name: DR. RYAN LEE WONG, D.D.S., M.S.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
10833 LE CONTE AVE
B0-130 CHS
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-3795
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DR. Ryan Lee Wong, D.D.S., M.S. is a periodontics dentist in Los Angeles, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Ryan Lee Wong, D.D.S., M.S. NPI is 1134651300. 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:

10833 LE CONTE AVE
B0-130 CHS
LOS ANGELES, CA
ZIP 90095-668
Phone: (310) 825-3795
Fax: (310) 825-9653

The enumeration date for this NPI number is 3/28/2017 and was last updated on 12/2/2021.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223P0300X	Dentist	Periodontics	104808	CALIFORNIA	Yes

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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