King Yue Wong OD Inc

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

OPT12461TPA Issued in CA

Legal business name

KING YUE WONG OD INC

Practice address

1431 Seventh Street
Suite #201
Santa Monica, CA 90401-2638

Phone

(310) 450-9998

Fax

(310) 450-8580

NPI assigned

Oct 25, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. King Yue Wong, ODNPI 1336471440

Title

Director Owner

Phone

(310) 471-9618

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• King Yue Wong, OD

  • Pediatric Optometrist
  • Santa Monica, CA
  • NPI 1336471440
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871678557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SOUTH KENTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494022",
            "telephone_number": "310-471-9618",
            "fax_number": "310-450-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SEVENTH STREET",
            "address_2": "SUITE #201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012638",
            "telephone_number": "310-450-9998",
            "fax_number": "310-450-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING YUE WONG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KING",
        "authorized_official_middle_name": "YUE",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "310-471-9618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12461TPA",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT12461TPA",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OPT12461TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "SD0124611",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0124610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Won Kim, L.AC.
• Kimberly Clapp Marriage and Famiy Therapist
• Tania Kimia, MD
• Bryan Daniel Kimiabakhsh, MD, MS
• King Family Therapy
• Alishia King
• Jonathan C. King, M.D.
• Mary Anne King
• Tracy King
• Stephen Kingston, D.D.S

• Pediatric Optometrist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatric Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.