Active NPI
Yung PO Wong
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1962622076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46920
- Practice address
- 709 N Hill St
Suite 23
Los Angeles, CA 90012-2361 - Phone
- (213) 617-0088
- Fax
- (213) 617-2988
- NPI assigned
- Apr 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46920 | CA | Primary |
Addresses
Primary practice location
709 N Hill St
Suite 23
Los Angeles, CA 90012-2361
Mailing address
521 E Norman Ave
Arcadia, CA 91006-4828
Phone (626) 445-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46920 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grabo United Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962622076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E NORMAN AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910064828",
"telephone_number": "626-445-0373",
"fax_number": "626-445-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N HILL ST",
"address_2": "SUITE 23",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122361",
"telephone_number": "213-617-0088",
"fax_number": "213-617-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "YUNG",
"middle_name": "PO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.