PETER WONG


Address: 18519 Devonshire St, Northridge, CA 91324
Phone: 8188319990

PETER WONG (NPI# 1154860849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154860849
Entity Type Individual
Full Name PETER WONG
Credential DDS
Practice Address 18519 Devonshire St
Northridge
CA 91324
Mailing Address 18519 Devonshire St
Northridge
CA 91324-1308
Practice Telephone 8188319990
Mailing Telephone 8188319990
Enumeration Date 2017-02-15
Last Update Date 2019-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
103701 CA Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
059863 NY Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 E 210th St, Bronx, NY 104672401 7189204321
143 N Carll Ave, Babylon, NY 11702 6316692330

Other Providers PETER WONG

NPI Name Taxonomy Address Enumeration
1467995241 Peter Wong Substance Abuse Rehabilitation Facility 4714 Broomtail Ct, Antioch, CA 94531-9305 2016-11-28
1790238426 Peter Wong Marriage & Family Therapist 5150 Sunrise Blvd Ste H1, Fair Oaks, CA 95628-4966 2016-07-29
1104229970 Peter Wong Pharmacist 899 Sir Winston St, Henderson, NV 89052-4959 2014-10-07
1477677987 Peter J Wong Pharmacist 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 2007-03-19
1154493070 Peter J Wong Internal Medicine 601 Pavonia Avenue, Suite 301, Jersey City, NJ 07306 2006-11-15
1992806533 Peter S Wong Dentist 12715 Bel Red Rd, Ste 202, Bellene, WA 98005 2006-09-26
1952344509 Peter Wong Surgery 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 2006-06-13
1811971567 Peter J Wong Obstetrics & Gynecology 200 Banning Street, Suite 320, Dover, DE 19904 2005-12-05
1649702598 Peter Wong Pharmacist 300 Pullman St Bldg G, Livermore, CA 94551-9756 2017-03-30
1952663932 Peter Lap Kei Wong Obstetrics & Gynecology 128 Mott Street Suite 501, New York, NY 10013-5041 2012-06-14

Office Location

Street Address 18519 DEVONSHIRE ST
City NORTHRIDGE
State CA
Zip Code 91324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518075654 Michael E Koury Dentist 18519 Devonshire St, Northridge, CA 91324-1308 2006-08-28
1386296507 Mega Harshad Patel Dentist 18519 Devonshire St, Northridge, CA 91324-1308 2019-07-09
1720482276 Tamim Sediq Dentist 18519 Devonshire St, Northridge, CA 91324-1308 2014-10-13
1174618946 Charles Rodgers Professional Dental Corporation Dentist 18519 Devonshire St, Northridge, CA 91324-1308 2006-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649803461 Endeavor Recovery LLC Clinic/Center 8537 Yolanda Ave, Northridge, CA 91324 2020-02-20
1780227769 Drs Concepts, Incorporated Clinic/Center 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 2019-10-23
1023674421 Expo Diagnostics, Inc. Clinic/Center 8619 Receda Blvd., Northridge, CA 91324 2019-05-13
1235601444 Grace Peprah Marriage & Family Therapist 19037 Community Street, Northridge, CA 91324 2018-12-28
1336635531 Kristel Fortuny Bushner Specialist/Technologist 9555 Reseda Blvd, 309, Northridge, CA 91324 2018-07-11
1710474358 Rara Enterprises Inc Pharmacy 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 2018-04-19
1205343670 Mariana Nicol Valdez Castro Behavior Technician 9335 Reseda Blvd # 101, Northridge, CA 91324 2018-01-05
1033655220 Benyaminy and Kashani Dds,inc. Clinic/Center 8954 Reseda Blvd #100, Northridge, CA 91324 2017-01-11
1366809915 Tia Brisco Counselor 9700 Reseda Blvd Ste 208, Northridge, CA 91324 2016-01-26
1053780189 Saloni Kadakia Student in an Organized Health Care Education/Training Program Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 2015-09-18
Find all providers in zip 91324

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205451093 Cesinita Alarcon Urbina Dds Inc. Dentist 19525 Nordhoff St Ste 30, Northridge, CA 91324-7408 2020-06-08
1336793728 Mitra Minovi Dentist 9444 Ruffner Ave, Northridge, CA 91343 2019-07-24
1790276616 Marufa Lala Dentist 11568 Viking Ave, Northridge, CA 91326-1815 2018-05-25
1255882403 Heidi Chan Dentist 9241 Reseda Blvd Ste 104, Northridge, CA 91324-3191 2016-10-21
1205381340 Nida Rioga Relativo, D.d.s., Inc Dentist 9535 Reseda Blvd Ste 213, Northridge, CA 91324-6028 2016-08-18
1245650597 Shahdad Arami Dentist 9801 Balboa Bl, Northridge, CA 91325 2014-04-24
1558787424 Daniel Herrera Dentist 18725 Roxburgh Pl, Northridge, CA 91326-1122 2014-03-14
1548540552 Valley Ace Dental Group Joint Dentist 8345 Reseda Blvd Ste 101, Northridge, CA 91324-4648 2011-08-22
1417257767 Mindy Park Dentist 8345 Reseda Blvd. #101, Northridge, CA 91324 2010-11-02
1962719120 Khoi D Tran Dentist 9545 Reseda Blvd Ste 1, Northridge, CA 91324-2348 2010-09-09
Find all providers in NORTHRIDGE

Competitor

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City NORTHRIDGE
Zip Code 91324

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Dataset Information

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.

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