JENNIFER L WONG M D INC (NPI# 1558670109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558670109 |
| Entity Type | Organization |
| Organization Name | JENNIFER L WONG M D INC |
| Practice Address |
1310 W Stewart Dr Suite 603 Orange CA 92868-3854 |
| Practice Telephone | 7146333145 |
| Practice Fax Number | 7146330145 |
| Mailing Telephone | 7146333145 |
| Mailing Fax Number | 7146330145 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-12-17 |
| Authorized Official Name | DR. JENNIFER LYNN WONG (CEO) |
| Authorized Official Telephone | 7146333145 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G063866 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1310 W STEWART DR SUITE 603 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362723 | Thuy Dich Pham | Internal Medicine | 1310 W Stewart Dr, Ste 410, Orange, CA 92868-3854 | 2005-08-09 |
| 1144776683 | Shawn Beck, M.d., Inc | Urology | 1310 W Stewart Dr, Suite 402, Orange, CA 92868-3854 | 2016-08-25 |
| 1619366929 | Jamie Mccoy | Physician Assistant | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3854 | 2015-01-10 |
| 1316365752 | Elizabeth Keramati | Nurse Practitioner | 1310 W Stewart Dr, Suite 506, Orange, CA 92868-3854 | 2014-04-02 |
| 1225467038 | Southern California Eye Consultants Inc. | Clinic/Center | 1310 W Stewart Dr, Suite 311, Orange, CA 92868-3854 | 2013-11-03 |
| 1346582053 | Aaron B Fowler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3856 | 2013-03-20 |
| 1518203678 | Angel Gomez-garcia Medical Center, Inc. | Clinic/Center | 1310 W Stewart Dr, 309, Orange, CA 92868-3854 | 2012-12-18 |
| 1336404235 | Lars Anker M.d. A Medical Corporation | Neurological Surgery | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3854 | 2012-07-07 |
| 1447522974 | Ivan M Turpin, M.d., Inc. | Surgery | 1310 W Stewart Dr, Suite 610, Orange, CA 92868-3854 | 2012-01-30 |
| 1598040339 | Divya Chode | Internal Medicine | 1310 W Stewart Dr, Ste 410, Orange, CA 92868-3854 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649748989 | Access Primary Care Physicians, Inc. | Family Medicine | 1100 Town & Country Road, Suite 1600, Orange, CA 92868 | 2018-11-05 |
| 1831622588 | Laetitia Truong | Family Medicine | 293 S Main St # 200, Orange, CA 92868-3843 | 2017-04-10 |
| 1891236535 | Telehealth Medical Group Inc | Family Medicine | 711 E Chapman Ave, Orange, CA 92866-1620 | 2017-03-14 |
| 1538541800 | My Md Inc | Family Medicine | 2680 N Santiago Blvd, Suite 100, Orange, CA 92867-1859 | 2015-06-23 |
| 1821476540 | Clinisanitas, PC | Family Medicine | 100 Boston Post Rd, Orange, CT 06477-3233 | 2015-05-14 |
| 1376839860 | T and D Medical Associates LLC | Family Medicine | 132 William St, Orange, NJ 07050-4065 | 2011-06-22 |
| 1134350606 | Kevin Lin | Family Medicine | 7630 E Chapman Ave Ste B, Orange, CA 92869-8536 | 2009-08-01 |
| 1700049459 | Kasein Gonzalez | Family Medicine | 303 W Katella Ave Ste 308, Orange, CA 92867-4790 | 2008-07-02 |
| 1336347293 | Dustin Anthony Taylor | Family Medicine | 2501 E Chapman Ave Ste 101, Orange, CA 92869-3204 | 2007-07-03 |
| 1265659262 | Joseph Tannenbaum | Family Medicine | 1681 N Hunters Way, Orange, CA 92869-1017 | 2007-04-19 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on JENNIFER L WONG M D 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.