Andrew King-Wah Wong, M.D.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

A119262 Issued in CA

Practice address

3113 N Sepulveda Blvd Ste a
Manhattan Beach, CA 90266-2492

Phone

(310) 802-8016

Fax

(310) 802-8031

NPI assigned

Dec 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oso Specialty Infusion IncGroup PAC ID 3274894720, 10 clinicians

Andrew K. Wong, M.D., Inc.Group PAC ID 6406224567, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew K. Wong, M.D., Inc.

  • Allergy & Immunology Physician
  • Manhattan Beach, CA
  • NPI 1669144465
  Medicare reassignment Care Compare group NPD Authorized official
• Oso Specialty Infusion, Inc.

  • Infusion Therapy Clinic/Center
  • Irvine, CA
  • NPI 1700305505
  Medicare reassignment Care Compare group NPD
• Charles H Song, M.D.

  • Pediatric Allergy/Immunology Physician
  • Los Angeles, CA
  • NPI 1790792869
  Medicare reassignment
• Los Angeles County

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1124388327
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1083983845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 N SEPULVEDA BLVD STE A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662492",
            "telephone_number": "310-802-8016",
            "fax_number": "310-802-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 N SEPULVEDA BLVD STE A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662492",
            "telephone_number": "310-802-8016",
            "fax_number": "310-802-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "Clinic Tower A7D",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-226-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDREW",
        "middle_name": "KING-WAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119262",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A119262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Williamson
• Brian Michael Withers, DDS
• James C Withers, DDS
• Lori Wolfman, M.S., CCC-SLP
• Hyungjun Won, AMFT
• Joanna May Wong, MD
• Alison Erica Wood, LMFT, ATR-BC
• Heather G Wood, D.D.S.
• Kristin Woolley, M.D.
• Andrea W Wu, MD

• Allergy & Immunology (Internal Medicine) Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.