La Chinatown Medical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

20A7258 Issued in CA

Legal business name

LA CHINATOWN MEDICAL CLINIC

Practice address

709 N. Hill St
#8
Los Angeles, CA 90012-2352

Phone

(213) 628-3300

Fax

(213) 625-2940

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kin Wong, D.O.NPI 1962436428

Title

Medical Director

Phone

(213) 628-3300

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Kin Wong, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1962436428
  NPD (past) Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1497927099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N. HILL ST",
            "address_2": "#8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122352",
            "telephone_number": "213-628-3300",
            "fax_number": "213-625-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N. HILL ST",
            "address_2": "#8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122352",
            "telephone_number": "213-628-3300",
            "fax_number": "213-625-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CHINATOWN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-628-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A7258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7854334",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Los Angeles, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.