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KELLY WONG DO INC NPI 1427361617


NPI Information

NPI: 1427361617
Provider Name: KELLY WONG DO INC

Other Name: KELLY WONG D O INC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
500 N GARFIELD AVE STE 105
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 288-3828
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KELLY WONG DO INC is a primary care clinic center in Monterey Park, CA. KELLY WONG DO INC NPI is 1427361617. The provider is registered as an organization entity type.
The provider Other Name Is Kelly Wong D O Inc.

The provider's business location address is:

500 N GARFIELD AVE STE 105
MONTEREY PARK, CA
ZIP 91754-242
Phone: (626) 288-3828
Fax: (626) 573-8513

The provider's authorized official is Kelly Wong .
The authorized official title is President and has the following contact phone number (626) 288-3828.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 2/28/2022.


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
1261QP2300XClinic/CenterPrimary Care20A10595CALIFORNIAYes

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

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.