CONNIE WONG, DPM AND KI SANG YI, DPM INC. (NPI# 1487837043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487837043 |
| Entity Type | Organization |
| Organization Name | CONNIE WONG, DPM AND KI SANG YI, DPM INC. |
| Practice Address |
1703 Termino Ave Ste 103 Long Beach CA 90804-2126 |
| Practice Telephone | 5625972100 |
| Practice Fax Number | 5625975165 |
| Mailing Telephone | 5625975100 |
| Mailing Fax Number | 5625975165 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | TIV BUNLEUTH (BILLING MANAGER) |
| Authorized Official Telephone | 5622343174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4250 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1295746345 | 01 |
| CA | NPI | 1033120118 | 01 |
| Street Address |
1703 TERMINO AVE STE 103 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134382203 | Ryan Alloway Culver | Podiatrist | 801 Pine Ave Unit 207, Long Beach, CA 90813-5815 | 2008-07-08 |
| 1437282316 | Prohealth Partners, A Medical Group | Podiatrist | 901 E San Antonio Dr, Long Beach, CA 90807-2211 | 2007-03-13 |
| 1083742241 | Dennis R. Gumm | Podiatrist | 4508a Atlantic Ave, # A138, Long Beach, CA 90807-1513 | 2007-03-01 |
| 1558454264 | Pedram Aslmand | Podiatrist | 2840 Long Beach Blvd # 205, Long Beach, CA 90806-1516 | 2006-10-02 |
| 1205938735 | Robert Daniel Murphy | Podiatrist | 3816 Woodruff Ave Ste 410, Long Beach, CA 90808-2146 | 2006-09-04 |
| 1295704864 | Victoria M Foley | Podiatrist | 3747 Worsham Ave, Suite 201, Long Beach, CA 90808-1774 | 2006-03-16 |
| 1811558968 | Timothy J Brookes | Podiatrist | 2801 Atlantic Avenue, Long Beach, CA 90806 | 2019-06-27 |
| 1639730047 | Dana Brems | Podiatrist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2019-06-26 |
| 1902331705 | Joshua Paul Lisonbee | Podiatrist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2017-04-29 |
| 1619328457 | Mariam Botros | Podiatrist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2016-06-23 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on CONNIE WONG, DPM AND KI SANG YI, DPM INC..
| 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.