Eye Institute of Los Angeles

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G56514 Issued in CA

Legal business name

EYE INSTITUTE OF LOS ANGELES

Practice address

420 N Garfield Ave Ste 208
Monterey Park, CA 91754-1206

Phone

(626) 572-3937

Fax

(626) 571-8847

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tin Cheu Wong, M.D.NPI 1083825624

Title

Medical Director

Phone

(626) 572-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EYE INSTITUTE OF L. A. Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Advanced Diagnostic and Surgical Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Alhambra, CA
  • NPI 1952355851

  Member Of

  NPD member

Locations

Practitioners 1

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

• Tin-Cheu Wong, M.D.

  • Ophthalmology Physician
  • Monterey Park, CA
  • NPI 1083825624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200096000000",
    "number": "1184809246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 208",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-572-3937",
            "fax_number": "626-571-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 208",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-572-3937",
            "fax_number": "626-571-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-12",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TIN CHEU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-572-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G565140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE INSTITUTE OF L. A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Anneth Espinoza
• Angela Estrada
• Eva Care Physical Therapy Inc.
• Excellent Health Inc
• Exporter Medical LLC
• Diana Ramirez Fajardo, LCSW, BCBA
• CHI Fan, LMFT
• Emily Nancy Fan, NP
• Joseph T Fan, M.D.
• Kevin Y Fan, DDS

• Ophthalmology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.