DR. BRIAN RUSSELL WONG (NPI# 1053456822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053456822 |
| Entity Type | Individual |
| Full Name | DR. BRIAN RUSSELL WONG |
| Credential | D.D.S. |
| Practice Address |
233 W Badillo St Ste C Covina CA 91723-1966 |
| Practice Telephone | 6263325911 |
| Mailing Telephone | 6263325911 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 39577 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770928483 | Brian Wong | Podiatrist | 1520 N Mountain Ave # E122, Ontario, CA 91762-1128 | 2013-05-08 |
| 1770718959 | Brian Christopher Wong | Internal Medicine | 2826 Hedge St, Yorktown Heights, NY 10598-3039 | 2009-05-18 |
| 1073726311 | Brian B Wong | Chiropractor | 16585 Von Karman Ave, Suite #a, Irvine, CA 92606-4941 | 2007-05-07 |
| 1407077431 | Brian James Wong | Dentist | 4411 E. 5th Street, Suite B, Tucson, AZ 85711-2020 | 2007-05-01 |
| 1376160531 | Brian Randall Wong | Pharmacist | 470 N Airport Rd, Willows, CA 95988-9701 | 2020-07-02 |
| 1457856056 | Brian Lan Wong | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2018-03-26 |
| 1457855413 | Brian Stephen Wong | Radiology | 301 University Blvd, Galveston, TX 77555-6500 | 2018-03-22 |
| 1720514300 | Brian Wong | Pharmacist | 3011 E Shields Ave, Fresno, CA 93726-6752 | 2017-05-03 |
| 1710339981 | Brian Wong | Pharmacist | 981 S Meridian Ave, Alhambra, CA 91803-1250 | 2016-07-12 |
| 1124474960 | Brian Wong | Pediatrics | 3653 N Locust Grove Rd, Meridian, ID 83646-5924 | 2016-05-11 |
| Street Address |
233 W BADILLO ST STE C |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909087 | Ahmed Ismail Elsherif | Dentist | 4550 N Lark Ellen Ave # 103-104, Covina, CA 91722-3147 | 2020-10-12 |
| 1982188207 | Rasha Dubuni | Dentist | 1453 N Azusa Ave, Covina, CA 91722-1201 | 2018-09-21 |
| 1083128870 | Western Dental Services, Inc. | Dentist | 1453 N Azusa Ave Ste F-4, Covina, CA 91722-1201 | 2017-12-01 |
| 1982943007 | Walter Rong | Dentist | 546 W Badillo St, Suite A, Covina, CA 91722-3786 | 2013-02-08 |
| 1942579313 | Sylvia A Salem | Dentist | 650 S 1st Ave, Covina, CA 91723-3538 | 2011-12-14 |
| 1548540743 | Teresita Crisostomo Fernandez | Dentist | 1131 W San Bernardino Rd, Covina, CA 91722-4108 | 2011-08-19 |
| 1477791267 | Aaron Daniel Gudino | Dentist | 554 W Badillo St, Covina, CA 91722-3762 | 2009-02-02 |
| 1194902767 | Arminda Viviana Robles | Dentist | 505 W Verness St, Covina, CA 91723-3340 | 2008-01-25 |
| 1952591869 | Patricia Y Lopez | Dentist | 675 S 2nd Ave, Covina, CA 91723-3518 | 2007-07-26 |
| 1851504112 | Mohamed Kays Dowaidari | Dentist | 19531 E Cienega Ave Apt 209, Covina, CA 91724-4015 | 2007-05-07 |
| Find all providers in COVINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.