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KIN C WONG MD A PROFESSIONAL CORP NPI 1013998616


NPI Information

NPI: 1013998616
Provider Name: KIN C WONG MD A PROFESSIONAL CORP
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
435 ARDEN AVE
STE 310
GLENDALE, CA
ZIP 91203
Phone: (818) 247-6676
Get Directions

KIN C WONG MD A PROFESSIONAL CORP is a pulmonary disease internal medicine in Glendale, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. KIN C WONG MD A PROFESSIONAL CORP NPI is 1013998616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

435 ARDEN AVE
STE 310
GLENDALE, CA
ZIP 91203-130
Phone: (818) 247-6676
Fax: (818) 247-6076

The provider's authorized official is Kin C Wong .
The authorized official title is Physician and has the following contact phone number (818) 247-6676.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 7/13/2017.


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
1207RP1001XInternal MedicinePulmonary DiseaseA33946CALIFORNIAYes

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
1W15179MEDICARE ID-TYPE UNSPECIFIED
200A339960MEDICAIDCALIFORNIA
3A27309MEDICARE UPIN

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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