Joanna M. Wong, M.D. a Medical Corp.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G46405 Issued in CA

Legal business name

JOANNA M. WONG, M.D. A MEDICAL CORP.

Practice address

855 Manhattan Beach Blvd
Suite 103
Manhattan Beach, CA 90266-4965

Phone

(310) 939-7850

Fax

(310) 939-7851

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joanna M Wong, MD

Title

President

Phone

(310) 939-7850

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699710160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MANHATTAN BEACH BLVD",
            "address_2": "SUITE 103",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664965",
            "telephone_number": "310-939-7850",
            "fax_number": "310-939-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MANHATTAN BEACH BLVD",
            "address_2": "SUITE 103",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664965",
            "telephone_number": "310-939-7850",
            "fax_number": "310-939-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA M. WONG, M.D. A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-939-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G46405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G46405",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Jannicky, M.D.
• Andrew Jasko
• Jax Orthopedics, Inc.
• Elizabeth Jemielita, LMFT
• Christian Jaaziel Jimenez, BCBA
• Joel D. Gould, D.D.S.
• Joel Gould DDS Inc
• John J.R., M.D., a Medical Corporation
• Christine Johnson, AMFT
• Kimberly Ann Johnson, LMFT

• Pediatrics Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.