DR. Ellis Charles Wong, DDS is a general practice dentist in Los Angeles, CA. The provider is 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. DR. Ellis Charles Wong, DDS NPI is 1316167711. 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:
607 N LARCHMONT BLVD
LOS ANGELES, CA
ZIP 90004-307
Phone: (323) 464-5555
Fax: (323) 464-3075
The NPI 1316167711 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).
The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/8/2007.