David Y Wong MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G27287 Issued in CA

Legal business name

DAVID Y WONG MD INC

Practice address

3220 Sepulveda Blvd
Suite 103
Torrance, CA 90505-8160

Phone

(310) 326-8625

Fax

(310) 326-1735

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Y Wong, M.D.NPI 1821167875

Title

Owner

Phone

(310) 326-8625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Yen Man Wong, M.D.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1821167875
  Medicare reassignment NPD Authorized official
• Eiji Ozawa, N.D.

  • Naturopath
  • Torrance, CA
  • NPI 1003939950
  NPD (past)
• Cody Jones Long, N.D.

  • Naturopath
  • Fountain Hills, AZ
  • NPI 1023379401
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1104130897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SEPULVEDA BLVD",
            "address_2": "SUITE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052744",
            "telephone_number": "310-326-8625",
            "fax_number": "310-326-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SEPULVEDA BLVD",
            "address_2": "SUITE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905058160",
            "telephone_number": "310-326-8625",
            "fax_number": "310-326-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID Y WONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-326-8625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G27287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M. Duffy, MD Inc
• David O Kim MD Inc
• David S Lu, M D, Inc
• David Underhill, MD Inc
• David W. Kelliny, DDS, Inc.
• Consuelo Veronica David, M.D.
• Diana Luz David, MD
• Denise Davidosky
• Arielle Miranda Axt Davidson, FNP-C
• Brian Neal Davidson

• Primary Care Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.