DR. ERIC EUGENE WONG (NPI# 1518136951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136951 |
| Entity Type | Individual |
| Full Name | DR. ERIC EUGENE WONG |
| Credential | MD |
| Practice Address |
1510 Cotner Ave Los Angeles CA 90025-3303 |
| Practice Telephone | 1044528003 |
| Mailing Telephone | 3104452800 |
| Mailing Fax Number | 5852188099 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A130746 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
234544 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593031 | Eric Wong | Physical Therapy Assistant | 5111 8th Ave, Brooklyn, NY 11220-2802 | 2019-08-19 |
| 1043610348 | Eric Wong | Chiropractor | 2733 Earle Ave, Rosemead, CA 91770-3228 | 2014-08-25 |
| 1871773622 | Eric Y Wong | Anesthesiology | 11300 Expo Blvd, Apt 1212, San Antonio, TX 78230-1005 | 2007-11-09 |
| 1982826426 | Eric Wong | Dentist | 1423 Irving St, San Francisco, CA 94122-2015 | 2007-05-03 |
| 1366064370 | Eric Wong | Occupational Therapist | 1340 Highland Ave, Duarte, CA 91010-2520 | 2020-05-13 |
| 1003375007 | Eric Ray Wong | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-19 |
| 1366986663 | Eric Wong | Counselor | 1650 Mission St Fl 5, San Francisco, CA 94103-2414 | 2016-12-06 |
| 1225446370 | Eric Cameron Wong | Pharmacist | 1300 Rockefeller Ave, Ste 150, Everett, WA 98201-1632 | 2014-07-31 |
| 1962821058 | Eric Alan Wong | Internal Medicine | 2701 Dekalb Pike, East Norriton, PA 19401-1820 | 2014-04-16 |
| 1699018986 | Eric Wong | Pharmacist | 1165 Arnold Dr, Martinez, CA 94553-4104 | 2013-04-04 |
| Street Address |
1510 COTNER AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457812 | Beverly Radiology Medical Group IIi | Radiology | 1510 Cotner Ave, Los Angeles, CA 90025-3303 | 2006-05-22 |
| 1942576681 | Vanja Varenika | Radiology | 1510 Cotner Ave, Los Angeles, CA 90025 | 2012-03-27 |
| 1437346244 | Mohammed Izhar | Nuclear Medicine | 1510 Cotner Ave, Los Angeles, CA 90025-3303 | 2007-09-26 |
| 1851479315 | Howard Gerald Berger | Radiology | 1510 Cotner Ave, Los Angeles, CA 90025-3303 | 2006-11-01 |
| 1295760999 | Marshall P. Fisher | Radiology | 1510 Cotner Ave, Los Angeles, CA 90025-3303 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on DR. ERIC EUGENE 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.