Eugene W Wong MD a Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A124915 Issued in CA

Legal business name

EUGENE W WONG MD A MEDICAL CORPORATION

Practice address

44301 Lorimer Ave
Lancaster, CA 93534-3700

Phone

(661) 940-1112

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eugene W Wong, MD

Title

President

Phone

(310) 709-8232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1285144675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "303-953-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44301 LORIMER AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343700",
            "telephone_number": "661-940-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1668 S Garfield Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918015474",
            "country_code": "US",
            "telephone_number": "626-308-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EUGENE W WONG MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-709-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A124915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Estrada, AMFT
• Gardenia Maite Estrada
• Joel Andres Estrada
• Kaitlyn Estrada
• Eugene Morong, M.D., a Professional Corporation
• Rennie Roshell Euwing
• Deanna Marie Evans
• Jazzmyne Evans
• Kellie Evans
• Kimberly C Evans, LMFT

• Anesthesiology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.