Theresa-Mary Offenback-Wong

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

109721 Issued in CA

Practice address

1825 E Thelborn St
West Covina, CA 91791

Phone

(626) 915-3844

NPI assigned

Apr 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1366733990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3090",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923933090",
            "telephone_number": "760-617-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E THELBORN ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-915-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6931 Van Nuys Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053996",
            "country_code": "US",
            "telephone_number": "818-374-6901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 E Thelborn St",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "91791",
            "country_code": "US",
            "telephone_number": "626-915-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFFENBACK-WONG",
        "first_name": "THERESA-MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Cardenas Ochoa, LCSW
• Nicole G Ochoa
• Octagon Healthcare Inc
• Kevin Yoshitomu Oda, PA-C
• Ivanna Odabi
• Hee Yong Oh, M.D.
• Irma Ojeda
• Jessica Marie Ojeda, FNP-C
• Wemimo Feyisayo Olagbaju, NP
• Victor Olague

• Marriage & Family Therapist in West Covina, CA
• Providers in West Covina, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.