NPIMap

Organization Active NPI

Suzie M. Wong DDS, Inc

  • Dentist
  • Gardena, CA
National Provider Identifier
1194901074
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUZIE M. WONG DDS, INC
Practice address
18527 S Western Ave
Suite 16
Gardena, CA 90248-3830
Phone
(310) 532-2774
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Suzie M WongNPI 1538173554
Title
President
Phone
(310) 532-2774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

18527 S Western Ave
Suite 16
Gardena, CA 90248-3830

Mailing address

18527 S Western Ave
Suite 16
Gardena, CA 90248-3830
Phone (310) 532-2774

National Provider Directory

National Provider Directory

Locations

18527 S Western Ave
#16
Gardena, CA 90248
Phone (310) 532-2774

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1194901074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18527 S WESTERN AVE",
            "address_2": "SUITE 16",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-532-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18527 S WESTERN AVE",
            "address_2": "SUITE 16",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-532-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZIE M. WONG DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-532-2774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.