Individual provider Active NPI

Penny Wong, L. AC

  • Acupuncturist
  • Whittier, CA
National Provider Identifier
1639438625
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14653 Issued in CA
Practice address
7007 Washington Ave
Suite #240
Whittier, CA 90602-1484
Phone
(818) 701-1800
Fax
(818) 885-1171
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 14653 CA Primary

Addresses

Primary practice location

7007 Washington Ave
Suite #240
Whittier, CA 90602-1484

Mailing address

917 W Duarte Rd Unit 4
Arcadia, CA 91007-7457
Phone (626) 354-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14653CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1639438625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W DUARTE RD UNIT 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077457",
            "telephone_number": "626-354-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WASHINGTON AVE",
            "address_2": "SUITE #240",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021484",
            "telephone_number": "818-701-1800",
            "fax_number": "818-885-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "PENNY",
        "name_prefix": "Ms.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.