Alice Wong, DO, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ALICE WONG, DO, PC

Practice address

2215 Artesia Blvd
#1683
Redondo Beach, CA 90278-6234

Phone

(213) 419-0415

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By 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

Alice Wong, DONPI 1073045084

Title

Founder

Phone

(213) 419-0415

Specialties & licenses 1

Addresses

Locations

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.

• Alice Wong, DO

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1073045084
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1902682842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ARTESIA BLVD",
            "address_2": "#1683",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902786234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 ARTESIA BLVD",
            "address_2": "#1683",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902786234",
            "telephone_number": "213-419-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE WONG, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "213-419-0415",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George E Alexander, M.D.
• Tameka Alexander
• Lauren Alferos
• Pat M Alford-Keating, PH.D.
• Sabrina Ali Leger, M.D.
• Ali Aljidui
• Alliance Medical, LLC
• Cynthia Allison, PHD
• Janine Almandos, ACSW
• Renee Almanza

• Psychiatry Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.