Individual provider Active NPI

Sheila Che Lan Kwok, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1295060432
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AFE24415 Issued in CA
Practice address
3544 Griffith Park Blvd
Los Angeles, CA 90027-1405
Phone
(323) 661-7860
Fax
(323) 661-7860
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AFE24415 CA Primary

Addresses

Primary practice location

3544 Griffith Park Blvd
Los Angeles, CA 90027-1405

Mailing address

3544 Griffith Park Blvd
Los Angeles, CA 90027-1405
Phone (323) 661-7860

Other identifiers 1

IdentifierTypeStateIssuer
AFE24415OtherCAVOLUNTARU SERVICE

Other names 1

  • Mrs. Sheila Wong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AFE24415CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1295060432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271405",
            "telephone_number": "323-661-7860",
            "fax_number": "323-661-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271405",
            "telephone_number": "323-661-7860",
            "fax_number": "323-661-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "SHEILA",
        "middle_name": "CHE LAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "AFE24415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VOLUNTARU SERVICE",
            "identifier": "AFE24415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "WONG",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.