Hanson P Wong M D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G63718 Issued in CA

Legal business name

HANSON P WONG M D

Practice address

10230 Artesia Blvd
Suite 201
Bellflower, CA 90706-6768

Phone

(562) 804-7223

Fax

(562) 804-0165

NPI assigned

May 4, 2007

Last updated

Apr 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hanson Pao-Sang Wong, M.D.

Title

Owner

Phone

(562) 804-7223

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1073725768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "SUITE 201",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066768",
            "telephone_number": "562-804-7223",
            "fax_number": "562-804-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "SUITE 201",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066768",
            "telephone_number": "562-804-7223",
            "fax_number": "562-804-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON P WONG M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "HANSON",
        "authorized_official_middle_name": "PAO-SANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-804-7223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63718",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G63718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "W13907",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.