Organization Active NPI

Donna L. Wong, DO, Inc.

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1508131129
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6755A Issued in CA
Legal business name
DONNA L. WONG, DO, INC.
Doing business as
Donna L. Wong, DO.
Practice address
10800 Paramount Blvd.
Suite 402
Downey, CA 90241-3334
Phone
(562) 923-8333
Fax
(562) 923-2433
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Dr. Donna Lynn Wong, D.O.
Title
Owner/President
Phone
(562) 923-8333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 20A6755 CA
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 20A6755A CA Primary

Addresses

Primary practice location

10800 Paramount Blvd.
Suite 402
Downey, CA 90241-3334

Mailing address

10800 Paramount Blvd.
Suite 402
Downey, CA 90241-3334
Phone (562) 923-8333

Other identifiers 1

IdentifierTypeStateIssuer
00AX6755AMedicaidCA

Other names 1

  • Donna L. Wong, DO. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1508131129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD.",
            "address_2": "SUITE 402",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413334",
            "telephone_number": "562-923-8333",
            "fax_number": "562-923-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD.",
            "address_2": "SUITE 402",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413334",
            "telephone_number": "562-923-8333",
            "fax_number": "562-923-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA L. WONG, DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "562-923-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6755",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6755A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX6755A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna L. Wong, DO.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.