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DR. MARK JEFFREY WONG D.C. NPI 1720136724


NPI Information

NPI: 1720136724
Provider Name: DR. MARK JEFFREY WONG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3540 GRAND AVE
OAKLAND, CA
ZIP 94610
Phone: (510) 268-8557
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DR. Mark Jeffrey Wong, D.C. is a chiropractor in Oakland, CA with 27 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Mark Jeffrey Wong, D.C. NPI is 1720136724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:1997

The provider's business location address is:

3540 GRAND AVE
OAKLAND, CA
ZIP 94610-010
Phone: (510) 268-8557
Fax: (510) 268-8591

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/8/2007.


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
1111N00000XChiropractorDC25950CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC0259500MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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.