MRS. SHIRLEY G WONG (NPI# 1346414596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346414596 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY G WONG |
| Credential | R.D |
| Practice Address |
1515 Stanford Ave Redondo Beach CA 90278-2737 |
| Practice Telephone | 3102922737 |
| Mailing Telephone | 3102922737 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 801608 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497937940 | Shirley Wong | Dentist | 613 N. Azusa Ave, Suite #a, Azusa, CA 91702 | 2007-11-27 |
| 1386738060 | Shirley Wong | Internal Medicine | 2335-b S. Wentworth Ave, Chicago, IL 60616 | 2006-10-03 |
| 1851801617 | Shirley Wong | Physician Assistant | 1401 Fairmont St, Whitehall, PA 18052-6015 | 2017-10-06 |
| 1609303049 | Shirley Wong | Registered Nurse | 1060 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-05-16 |
| 1740620210 | Shirley Wong | Pharmacist | 995 Potrero Ave, Bldg 80, Ward 83, San Francisco, CA 94110-2859 | 2013-06-28 |
| 1083958722 | Shirley Wong | Pharmacist | 1607 Shattuck Ave, Berkeley, CA 94709-1611 | 2012-11-19 |
| 1346313459 | Shirley Patricia Wong | Obstetrics & Gynecology | 400 N Pepper Ave, Dept Women's Health, 2nd Floor, Mob, Colton, CA 92324-1801 | 2006-11-16 |
| Street Address |
1515 STANFORD AVE |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90278-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
| 1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
| 1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
| 1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
| 1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
| 1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
| 1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
| 1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
| 1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
| 1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
| Find all providers in zip 90278 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771415 | Laura Kauffman | Dietitian, Registered | 723 Sapphire St, Redondo Beach, CA 90277-4352 | 2020-08-20 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1215462163 | Victoria Hahn | Dietitian, Registered | 2008 Clark Ln, Apt 3, Redondo Beach, CA 90278-4239 | 2017-04-28 |
| 1447702949 | Alyssa Baldino | Dietitian, Registered | 219 S Irena Ave # 1, Redondo Beach, CA 90277-3429 | 2016-10-31 |
| 1376820910 | Agata Matusz | Dietitian, Registered | 1900 Vanderbilt Ln Apt A, Redondo Beach, CA 90278-2932 | 2011-11-10 |
| 1932400157 | Stanley Ujano Cachola | Dietitian, Registered | 1703 Mackay Ln # B, Redondo Beach, CA 90278-3702 | 2010-11-04 |
| 1629205497 | Kara Lynn Karalis | Dietitian, Registered | 2111 Dufour Ave, Redondo Beach, CA 90278-1412 | 2009-06-18 |
| 1730205360 | Winy Chen | Dietitian, Registered | 506 S Maria Ave, Redondo Beach, CA 90277-3954 | 2007-03-22 |
| 1093779035 | Kimberly Cahill | Dietitian, Registered | 710 N Juanita Ave, Unit A, Redondo Beach, CA 90277-2226 | 2006-04-14 |
| 1568071157 | Dianne Staso | Dietitian, Registered | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2020-07-29 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90278 |
Please comment or provide details below to improve the information on MRS. SHIRLEY G WONG.
| 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.