Organization Active NPI

Henry Wong Chiropractic Professional Corporation

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1982831913
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27967 Issued in CA
Legal business name
HENRY WONG CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
3689 Midway Drive
Suite G
San Diego, CA 92110-5265
Phone
(619) 222-8885
Fax
(619) 222-8889
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Mr. Henry Wong, D.C.NPI 1730223835
Title
President
Phone
(619) 222-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27967 CA Primary

Addresses

Primary practice location

3689 Midway Drive
Suite G
San Diego, CA 92110-5265

Mailing address

3689 Midway Drive
Suite G
San Diego, CA 92110-5265
Phone (619) 222-8885

Other names 1

  • Greater Life Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091106000278 CA Part B Supplier - Clinic/Group Practice 2466590781 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

3689 Midway Dr
Ste G
San Diego, CA 92110
Phone (619) 222-8885

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1982831913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 MIDWAY DRIVE",
            "address_2": "SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105265",
            "telephone_number": "619-222-8885",
            "fax_number": "619-222-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 MIDWAY DRIVE",
            "address_2": "SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105265",
            "telephone_number": "619-222-8885",
            "fax_number": "619-222-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY WONG CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-222-8885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Life Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.