Victor Chan Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101750 Issued in CA

Practice address

450 N Bedford Dr Ste 209
Beverly Hills, CA 90210-4306

Phone

(626) 807-7605

NPI assigned

Aug 15, 2017

Last updated

Aug 15, 2017By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1992221527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 BLEAKWOOD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917545901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR STE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104306",
            "telephone_number": "626-807-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN WONG",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy A Cesena-Sinjur, L.R.E.
• Susan H Cha, M.D.
• Vinky Chadha, MD
• Azine Chafai
• Fadi Chahin, MD
• Melinda Chan, PA-C
• Marika Krista Chandler, LAC
• Wendy Yuen Jen Chang Lee, M.D.
• Catherine S. Chang, MD
• David Hai Ru Chang, MD

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.