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DR. SHUK HAN TERRI WONG M.D. NPI 1033315403


NPI Information

NPI: 1033315403
Provider Name: DR. SHUK HAN TERRI WONG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1800 HARRISON ST FL 7
OAKLAND, CA
ZIP 94612
Phone: (510) 625-6262
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DR. Shuk Han Terri Wong, M.D. is a family medicine in Oakland, CA with 18 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shuk Han Terri Wong, M.D. NPI is 1033315403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

1800 HARRISON ST FL 7
OAKLAND, CA
ZIP 94612-466
Phone: (510) 625-6262

The NPI 1033315403 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 6/22/2007 and was last updated on 12/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA126069CALIFORNIANo
2207R00000XInternal Medicine01067530AINDIANANo
3207R00000XInternal Medicine14046NEVADANo
4207R00000XInternal MedicineA126069CALIFORNIANo
5207Q00000XFamily Medicine14046NEVADANo
6207Q00000XFamily Medicine01067530AINDIANAYes

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: 11/14/2023

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.