Kelley Yin-Ching Wung, D.C., MSPT, L.AC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29435 Issued in CA

Practice address

12416 Clearglen Ave Apt 4
Whittier, CA 90604-3841

Phone

(323) 854-2353

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1982811378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 CLEARGLEN AVE APT 4",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906043841",
            "telephone_number": "323-854-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12416 CLEARGLEN AVE APT 4",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906043841",
            "telephone_number": "323-854-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNG",
        "first_name": "KELLEY",
        "middle_name": "YIN-CHING",
        "name_prefix": "Dr.",
        "credential": "D.C., MSPT, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30509",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11614",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesheng Wu, MD
• Marian C. Wu, OTR/L
• Nancy Wu, NP
• Yu-Fei Wu, MD
• Robert Wudrick, MD
• Willard Wynn II
• Xavier P Ordonez OD a Professional Corporation
• Erin Yamanaka-Ramer, PHARMD
• Elizabeth Yanez
• Chin Yuh Yang, DDS

• Physical Therapist in Whittier, CA
• Providers in Whittier, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.