Organization Active NPI

Albert P Wong MD Inc

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1407324353
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALBERT P WONG MD INC
Practice address
8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100
Phone
(310) 746-5918
Fax
(323) 433-7016
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Albert P Wong, MDNPI 1841429586
Title
Owner
Phone
(310) 746-5918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100

Mailing address

8436 W 3Rd St Ste 603
Los Angeles, CA 90048-4163
Phone (310) 746-5918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190403002049 CA Part B Supplier - Clinic/Group Practice 1456692326 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8436 W 3rd St
Ste 603
Los Angeles, CA 90048
Phone (310) 746-5918

Practitioners & affiliated clinicians

Practitioners 1

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": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1407324353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484163",
            "telephone_number": "310-746-5918",
            "fax_number": "323-433-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484100",
            "telephone_number": "310-746-5918",
            "fax_number": "323-433-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT P WONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-746-5918",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.