Tiffany Wilson, M.D. & Kelly Wong, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A70066 Issued in CA

Legal business name

TIFFANY WILSON, M.D. & KELLY WONG, M.D.

Practice address

33 Creek Rd BLDG a
Suite 190
Irvine, CA 92604-4791

Phone

(949) 262-7075

Fax

(714) 899-4275

NPI assigned

Apr 3, 2007

Last updated

Sep 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Wilson, M.D.

Title

Owner

Phone

(949) 292-7075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1285755744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD BLDG A",
            "address_2": "SUITE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-262-7075",
            "fax_number": "714-899-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD BLDG A",
            "address_2": "SUITE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-262-7075",
            "fax_number": "714-899-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY WILSON, M.D. & KELLY WONG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-292-7075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenqiang Tian
• Audris Meiyin Tien, DPM
• Amy Safer Tierney, LCSW
• Tiffany Dawn Wilson, M.D., Inc.
• Tiffany Dawn Wilson, M.D., Inc.
• Kendall Lamar Tillman I
• Natalie Christine Timbrook
• Time Unwind Medical Group, Inc. (Dr. Freeze)
• Timothy R Twombly DC & Kenneth D Erickson DC a Chiropractic Corp (Irvine Spine and Sport)
• Nicole Timoti, MA BCBA

• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.