Organization Active NPI

Janet Wong and Jennifer Wong Dental Corporation

  • Dentist
  • Culver City, CA
National Provider Identifier
1679742365
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49025 Issued in CA
Legal business name
JANET WONG AND JENNIFER WONG DENTAL CORPORATION
Practice address
11262 Washington Blvd
Culver City, CA 90230-4616
Phone
(310) 390-6500
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Janet Elizabeth Wong, D.D.S.
Title
President
Phone
(310) 390-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 49025 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 52131 CA

Addresses

Primary practice location

11262 Washington Blvd
Culver City, CA 90230-4616

Mailing address

11262 Washington Blvd
Culver City, CA 90230-4616
Phone (310) 390-6500

National Provider Directory

National Provider Directory

Locations

11262 Washington Blvd
Culver City, CA 90230
Phone (310) 390-6500

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1679742365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11262 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304616",
            "telephone_number": "310-390-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11262 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304616",
            "telephone_number": "310-390-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET WONG AND JENNIFER WONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-390-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49025",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.