MR. KYLE R WONG (NPI# 1467631325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467631325 |
| Entity Type | Individual |
| Full Name | MR. KYLE R WONG |
| Credential | DDS |
| Practice Address |
416 W Las Tunas Dr Ste 102 San Gabriel CA 91776-1236 |
| Mailing Address |
416 W Las Tunas Dr Ste 102 San Gabriel CA 91776-1236 |
| Practice Telephone | 6262822068 |
| Mailing Telephone | 6264788813 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2009-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 35355 | CA | Dental Providers |
| N | 171100000X | Acupuncturist | 9165 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063897395 | Kyle Wong | Internal Medicine | 4742 Nw Riverside Dr, Riverside, MO 64150-1102 | 2015-07-28 |
| 1396945473 | Kyle Wong | Physical Therapist | 212b Main St, Colonial Plaza, Williamstown, MA 01267-2641 | 2007-07-18 |
| Street Address |
416 W LAS TUNAS DR STE 102 |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1689074734 | Son Nguyen Dds | Dentist | 730 East Valley Blvd, San Gabriel, CA 91776 | 2014-08-26 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| Find all providers in zip 91776 | ||||
| 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 |
|---|---|---|---|---|
| 1154795656 | Michael Chung | Dentist | 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 | 2015-11-20 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1669751640 | Jennifer Wu | Dentist | 410 S San Gabriel Blvd, San Gabriel, CA 91776-1955 | 2011-08-09 |
| 1740425677 | Amy Wong | Dentist | 1404 S San Gabriel Blvd Ste A, San Gabriel, CA 91776-3603 | 2008-12-05 |
| 1871784546 | Lingli Wang | Dentist | 1100 S San Gabriel Blvd, San Gabriel, CA 91776-3115 | 2007-08-07 |
| 1073728440 | Shih Wei Ho | Dentist | 7232 Rosemead Blvd Ste 304, San Gabriel, CA 91775-1316 | 2007-05-11 |
| 1386767796 | Benjamin Y Szu | Dentist | 1125 S San Gabriel Blvd, San Gabriel, CA 91776-3114 | 2007-04-09 |
| 1184760373 | Ruy Tsun Lee | Dentist | 1008 East Las Tunas Drive, Suite D, San Gabriel, CA 91776-1615 | 2007-01-29 |
| 1053464347 | Joseph T. Kor | Dentist | 1720 S San Gabriel Blvd Ste 101, San Gabriel, CA 91776-3975 | 2007-01-19 |
| 1982755591 | Mai Le | Dentist | 321 W Valley Blvd, San Gabriel, CA 91776-3726 | 2007-01-12 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
Please comment or provide details below to improve the information on MR. KYLE R 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.