DR. SUZIE MALACA WONG (NPI# 1538173554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538173554 |
| Entity Type | Individual |
| Full Name | DR. SUZIE MALACA WONG |
| Credential | DDS |
| Practice Address |
18527 S Western Ave Suite 16 Gardena CA 90248-3830 |
| Mailing Address |
18527 S. Western Ave. Suite 16 Gardena CA 90248 |
| Practice Telephone | 3105322774 |
| Practice Fax Number | 3105327174 |
| Mailing Telephone | 3105322774 |
| Mailing Fax Number | 3105327174 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
45997 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184053308 | Suzie Wong | Pharmacist | 200 Muir Rd Bldg Rmh1e17, Martinez, CA 94553-4614 | 2013-11-07 |
| Street Address |
18527 S WESTERN AVE SUITE 16 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194901074 | Suzie M. Wong Dds, Inc | Dentist | 18527 S Western Ave, Suite 16, Gardena, CA 90248-3830 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144674433 | O.r. Barkhordar Dds Inc | Dentist | 1600 W. Redondo Beach Blvd, Ste 203, Gardena, CA 90274 | 2016-04-22 |
| 1457763716 | Luke B. Lee, Dmd Inc. | Dentist | 15632 S Normandie Ave, Gardena, CA 90247-4016 | 2014-05-21 |
| 1700137577 | John Yoo | Dentist | 15324 S Western Ave Ste E, Gardena, CA 90249-4338 | 2012-09-20 |
| 1912166612 | Bryan H Saiki | Dentist | 1875 W Redondo Beach Blvd Ste 203, Gardena, CA 90247-3643 | 2008-06-06 |
| 1750590394 | Craig Haruo Yamamoto | Dentist | 1157 W Gardena Blvd, Gardena, CA 90247-4823 | 2007-05-21 |
| 1831307610 | Teresa M. Avendano-galvez,dmd, A Professional Corporation | Dentist | 1451 W Artesia Blvd Ste 6, Gardena, CA 90248-3232 | 2007-05-18 |
| 1114146701 | Gayle N Kawahara | Dentist | 15300 S Western Ave, Gardena, CA 90249-4317 | 2007-04-24 |
| 1760514020 | David Bruce Akiyoshi | Dentist | 1133 W Gardena Blvd, Gardena, CA 90247-4823 | 2007-03-12 |
| 1023149341 | Rose Marie Baniqued Quimson | Dentist | 2926 Marine Ave, Gardena, CA 90249-3655 | 2007-03-08 |
| 1043348188 | Quy Van Ly | Dentist | 15422 Crenshaw Blvd, Gardena, CA 90249-4524 | 2007-03-01 |
| Find all providers in GARDENA | ||||
Please comment or provide details below to improve the information on DR. SUZIE MALACA 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.