DR. ANGELICA PAMELA WONG (NPI# 1609920529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609920529 |
Entity Type | Individual |
Full Name | DR. ANGELICA PAMELA WONG |
Credential | DDS |
Practice Address |
151 S Mednik Ave Los Angeles CA 90022-1606 |
Mailing Address |
7811 Baysinger St Downey CA 90241-2224 |
Practice Telephone | 3232633303 |
Practice Fax Number | 3232633341 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
54667 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DELTA DENTAL | 54667 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598376121 | Angelica Oi-ling Wong | Physical Therapist | 1039 Avenue C, Bayonne, NJ 07002-3217 | 2020-08-17 |
1467896720 | Angelica Zuleika Wong | Nurse Anesthetist, Certified Registered | 7500 Mercy Rd Ste 1355, Omaha, NE 68124-2319 | 2013-04-17 |
Street Address |
151 S MEDNIK AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90022-1606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407191810 | Tan, Dds and Tran, Dds, Inc | Dentist | 151 S Mednik Ave, Los Angeles, CA 90022-1606 | 2012-12-11 |
1053465955 | Nguyen Nhu Tran | Dentist | 151 S Mednik Ave, Los Angeles, CA 90022-1606 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
Find all providers in zip 90022 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1326535949 | Haejin Kang | Dentist | 3932 Wilshire Blvd Ste 200, Los Angeles, CA 90010-3307 | 2018-04-19 |
1609382860 | Dr Daniel Meir Klein Dds, Apc | Dentist | 5001 Wilshire Blvd Ste 209, Los Angeles, CA 90036-6104 | 2017-12-22 |
1154858082 | Jenny Garcia | Dentist | 1042 1/2 N Ardmore Ave, Los Angeles, CA 90029-2402 | 2017-05-23 |
1013365881 | Jessica Yoon Kyung Pack | Dentist | 1234 Wilshire Blvd Apt 212, Los Angeles, CA 90017-1974 | 2016-06-02 |
1588011225 | Chelsea Elese Zamudio | Dentist | 1125 S Wooster St, Los Angeles, CA 90035-1405 | 2016-05-23 |
1457707861 | Denisse Monroy | Dentist | 11900 Goshen Ave Apt 103, Los Angeles, CA 90049-6379 | 2016-05-04 |
1851784268 | Woo Ram Lee | Dentist | 1343 S Carmelina Ave, Apt 7, Los Angeles, CA 90025-1987 | 2015-03-09 |
1982010427 | Tiffany Wu | Dentist | 5262 E Beverly Blvd, Los Angeles, CA 90022-2002 | 2014-07-04 |
1447664578 | Jack Yeung | Dentist | 1222 Mcclellan Dr Apt 2, Los Angeles, CA 90025-1010 | 2014-06-17 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90022 |
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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.