So Wan Wong

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

305 W Bencamp St
San Gabriel, CA 91776-5712

Phone

(626) 940-7980

NPI assigned

Jan 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1992193205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W BENCAMP ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W BENCAMP ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765712",
            "telephone_number": "626-940-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SO WAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Wong, PT, DPT, CFMT
• Kyle R Wong, DDS
• Michael Wong, PT
• Ming Fan Wong, ACUPUNCTURIST
• Sandy Wong, MA
• Solinet Wong, PPS
• Wing Tung Joyce Wong, PHARM.D
• Stephen Christopher Woo, PA-C
• Timberly Woods
• Cheyenne Azusada Wright

• Occupational Therapist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.