Connie Wong, DPM and Ki Sang Yi, DPM Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4250 Issued in CA

Legal business name

CONNIE WONG, DPM AND KI SANG YI, DPM INC.

Practice address

1703 Termino Ave Ste 103
Long Beach, CA 90804-2126

Phone

(562) 597-2100

Fax

(562) 597-5165

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Tiv Bunleuth

Title

Billing Manager

Phone

(562) 234-3174

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Lap Ming Wong, DPM

  • Podiatrist
  • Long Beach, CA
  • NPI 1295746345
  NPD
• Ki Sang Yi, DPM

  • Podiatrist
  • Long Beach, CA
  • NPI 1033120118
  NPD

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1487837043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-597-5100",
            "fax_number": "562-597-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-597-2100",
            "fax_number": "562-597-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE WONG, DPM AND KI SANG YI, DPM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "BUNLEUTH",
        "authorized_official_first_name": "TIV",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "562-234-3174"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295746345",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033120118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connecting Pathways Therapeutic Preschool
• Jennifer Hsieh Connelly, D.O.
• Tamarra Conner
• Connexus Family Clinic Inc
• Connie Wong, DPM and Ki Sang Yi, DPM Inc
• Kevin J Connors, MS, MFT
• Jessica Conquest
• Shoni Conrad, LCSW
• Heather Conroy
• Mark A Conry, CP

• Foot & Ankle Surgery Podiatrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.