Organization Active NPI

Regina S. Wong, DDS, Inc.

  • Customized Equipment (DME)
  • Covina, CA
National Provider Identifier
1326433939
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
036303 Issued in CA
Legal business name
REGINA S. WONG, DDS, INC.
Practice address
677 S 2ND Ave
Covina, CA 91723-3518
Phone
(626) 858-2700
Fax
(626) 858-2754
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Regina S. Wong, D.D.S.
Title
Owner
Phone
(626) 858-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 036303 CA Primary

Addresses

Primary practice location

677 S 2ND Ave
Covina, CA 91723-3518

Mailing address

677 S 2ND Ave
Covina, CA 91723-3518
Phone (626) 858-2700

National Provider Directory

National Provider Directory

Locations

677 S 2nd Ave
Covina, CA 91723
Phone (562) 228-6330

Practitioners & affiliated clinicians

Practitioners 3

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": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1326433939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233518",
            "telephone_number": "626-858-2700",
            "fax_number": "626-858-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233518",
            "telephone_number": "626-858-2700",
            "fax_number": "626-858-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA S. WONG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-858-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "036303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.