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DR. KELLY KWOK WONG M.D. NPI 1699865741


NPI Information

NPI: 1699865741
Provider Name: DR. KELLY KWOK WONG, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D2085683

Address:
728 PACIFIC AVE # 703
SAN FRANCISCO, CA
ZIP 94133
Phone: (415) 805-7782
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DR. Kelly Kwok Wong, M.D. is a pediatrics in San Francisco, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Kelly Kwok Wong, M.D. NPI is 1699865741. 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:

728 PACIFIC AVE # 703
SAN FRANCISCO, CA
ZIP 94133-457
Phone: (415) 805-7782
Fax: (415) 805-7783

The CLIA number assigned to this NPI record is 05D2085683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/22/2022.


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
1208000000XPediatricsA65226CALIFORNIAYes

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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