DR. KING YUE WONG OD NPI 1336471440

NPI Information

NPI: 1336471440
Provider Name: DR. KING YUE WONG, OD
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1431 7TH ST
SUITE # 201
SANTA MONICA, CA
ZIP 90401
Phone: (310) 395-2106
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DR. King Yue Wong, OD is a pediatrics optometrist in Santa Monica, CA. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. King Yue Wong, OD NPI is 1336471440. 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:

1431 7TH ST
SUITE # 201
SANTA MONICA, CA
ZIP 90401-637
Phone: (310) 395-2106
Fax: (310) 450-8580

The enumeration date for this NPI number is 2/1/2010 and was last updated on 2/1/2010.

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	152W00000X	Optometrist		OPT12461TPA	CALIFORNIA	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	OPT12461TPA	CALIFORNIA	No
3	152WP0200X	Optometrist	Pediatrics	OPT12461TPA	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1871678557	OTHER	CALIFORNIA	NPI # (ORGANIZATION & GROUP)
2	V07637	MEDICARE UPIN	CALIFORNIA
3	OP12461	MEDICARE PIN	CALIFORNIA
4	SD0124610	MEDICAID	CALIFORNIA
5	SD0124611	OTHER	CALIFORNIA	MEDICAID (2ND OFFICE)

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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