DR. ANDREW LUN WONG M.D. NPI 1427137967

NPI Information

NPI: 1427137967
Provider Name: DR. ANDREW LUN WONG, M.D.
Classification: Clinic/Center - 261QM2500X
Entity Type: Individual

Specialization: Medical Specialty

PECOS Registration: Yes

Address:
14445 OLIVE VIEW DR # 2B182
SYLMAR, CA
ZIP 91342
Phone: (818) 364-3205
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DR. Andrew Lun Wong, M.D. is a medical specialty clinic center in Sylmar, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR. Andrew Lun Wong, M.D. NPI is 1427137967. 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:

14445 OLIVE VIEW DR # 2B182
SYLMAR, CA
ZIP 91342-437
Phone: (818) 364-3205
Fax: (818) 364-4573

The NPI 1427137967 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 11/3/2006 and was last updated on 5/19/2016.

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	207RR0500X	Internal Medicine	Rheumatology	G52871	CALIFORNIA	No
2	261QM2500X	Clinic/Center	Medical Specialty	G52871	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	G34555	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

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