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CONNIE WONG DPM AND KI SANG YI DPM INC. NPI 1487837043


NPI Information

NPI: 1487837043
Provider Name: CONNIE WONG, DPM AND KI SANG YI, DPM INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1703 TERMINO AVE STE 103
LONG BEACH, CA
ZIP 90804
Phone: (562) 597-2100
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CONNIE WONG, DPM AND KI SANG YI, DPM INC. is a foot and ankle surgery podiatrist in Long Beach, CA. CONNIE WONG, DPM AND KI SANG YI, DPM INC. NPI is 1487837043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1703 TERMINO AVE STE 103
LONG BEACH, CA
ZIP 90804-126
Phone: (562) 597-2100
Fax: (562) 597-5165

The provider's authorized official is Tiv Bunleuth .
The authorized official title is Billing Manager and has the following contact phone number (562) 234-3174.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 3/19/2020.


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
1213ES0103XPodiatristFoot & Ankle SurgeryE4250CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11295746345OTHERCALIFORNIANPI
21033120118OTHERCALIFORNIANPI

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

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