Dr. Tin S Wong DO Medical Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20A13729 Issued in CA

Legal business name

DR. TIN S WONG DO MEDICAL CORPORATION

Practice address

711 W College St Ste 208
Los Angeles, CA 90012-1093

Phone

(213) 625-3182

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Tin Wong, DONPI 1588927552

Title

President

Phone

(213) 625-3182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Tin Wong, DO

  • Adult Medicine Physician
  • Los Angeles, CA
  • NPI 1588927552
  Medicare reassignment NPD Authorized official
• Kelly Tim Tim Wong, D.O.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1215106448
  NPD
• Kai Y Wong, M.D.

  • Family Medicine Physician
  • Arcadia, CA
  • NPI 1376656967
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1811449598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121093",
            "telephone_number": "213-625-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121093",
            "telephone_number": "213-625-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIN S WONG DO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-625-3182",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "20A13729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Steven Sampson Medical Corporation (Orthohealing Center Medical Partnership)
• Dr. Sunil Singhania, PC
• Dr. Susan S. Gomez-Baba
• Dr. Tamala Black and Associates
• Dr. Tamala Black and Associates (N/a)
• Dr. Vernon B. Williams, Inc.
• Dr.Cho Dental Professional Corporation
• Dr.Jacob Slutsky, DDS Inc. (Dental Center of West LA)
• Dr.Pedro E. Bello, D.D.S; Inc
• Dr.Robert Kummer,O.D., a Professional Corporation

• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.