Organization Active NPI

I. Lane Wong, M.D. Inc.

  • Reproductive Endocrinology Physician
  • Irvine, CA
National Provider Identifier
1235299538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
G59317 Issued in CA
Legal business name
I. LANE WONG, M.D. INC.
Practice address
2500 Alton Pkwy Ste 201
Irvine, CA 92606-5034
Phone
(949) 387-3888
Fax
(949) 387-3907
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Audrey J Wong
Title
Office Manager
Phone
(949) 387-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X G59317 CA Primary

Addresses

Primary practice location

2500 Alton Pkwy Ste 201
Irvine, CA 92606-5034

Mailing address

2500 Alton Pkwy Ste 201
Irvine, CA 92606-5034
Phone (949) 387-3888

Other identifiers 3

IdentifierTypeStateIssuer
00G59317OtherCABLUE SHIELD ID
G59317OtherCAMEDICAL LICENSE NUMBER
INF1012OtherCAMONARCH HEALTHCARE ID

Other names 1

  • Hope Fertility Center Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Alton Pkwy
Ste 201
Irvine, CA 92606
Phone (714) 702-3000

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235299538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY STE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065034",
            "telephone_number": "949-387-3888",
            "fax_number": "949-387-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY STE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065034",
            "telephone_number": "949-387-3888",
            "fax_number": "949-387-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. LANE WONG, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-387-3888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G59317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "00G59317",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "G59317",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONARCH HEALTHCARE ID",
            "identifier": "INF1012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Fertility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.