PETRA A WONG (NPI# 1578585915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578585915 |
| Entity Type | Individual |
| Full Name | PETRA A WONG |
| Credential | MD |
| Practice Address |
3801 Katella Ave Ste 300 Los Alamitos CA 90720-3372 |
| Practice Telephone | 5624306472 |
| Practice Fax Number | 5624312975 |
| Mailing Telephone | 5624306472 |
| Mailing Fax Number | 5624312975 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G39865 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3801 KATELLA AVE STE 300 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952653 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 3772 Katella Ave Ste 107, Los Alamitos, CA 90720-6424 | 2020-02-03 |
| 1376964718 | Puja Shrestha | Internal Medicine | 3851 Katella Ave Ste 155, Los Alamitos, CA 90720-3353 | 2014-01-03 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| 1548409030 | Khalid Maznavi | Internal Medicine | 3791 Katella Ave., Suite 101, Los Alamitos, CA 90720 | 2009-02-06 |
| 1477737369 | Shivanand R Pole | Internal Medicine | 3851 Katella Ave 305, Los Alamitos, CA 90720-3309 | 2007-12-27 |
| 1881896991 | Thomas Dosumu-johnson | Internal Medicine | 3682 Katella Ave, Suite 2, Los Alamitos, CA 90720-3120 | 2007-06-01 |
| 1245308238 | Hichang J Choi | Internal Medicine | 4336 Katella Ave, Los Alamitos, CA 90720-3564 | 2006-11-30 |
| 1447348628 | Steven Joseph Becker | Internal Medicine | 4152 Katella Ave, Ste 201, Los Alamitos, CA 90720-6608 | 2006-10-11 |
| 1588752778 | Etsegenet T Ayele | Internal Medicine | 5122 Katella Ave Ste 210, Los Alamitos, CA 90720-6836 | 2006-10-11 |
| 1841211497 | Vichai Bhoopat | Internal Medicine | 3801 Katella Ave Ste 301, Los Alamitos, CA 90720-3373 | 2006-07-21 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on PETRA A 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.