DR. GAVIN WONG (NPI# 1932580974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932580974 |
| Entity Type | Individual |
| Full Name | DR. GAVIN WONG |
| Credential | PHARMCIST |
| Practice Address |
1260 E Ontario Ave Corona CA 92881-3600 |
| Practice Telephone | 9517349765 |
| Mailing Telephone | 9517349765 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51139 | CA | Pharmacy Service Providers |
| Street Address |
1260 E ONTARIO AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316993967 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1260 E Ontario Ave, Corona, CA 92881-3600 | 2006-05-25 |
| 1578944997 | David Call | Pharmacist | 1260 E Ontario Ave, Corona, CA 92881-3600 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151290 | Charmi Gajera | Pharmacist | 1164 Stone Pine Ln Unit A, Corona, CA 92879-2646 | 2020-07-16 |
| 1114558517 | Jan D Kum | Pharmacist | 4485 Signature Dr, Corona, CA 92883-0633 | 2020-02-04 |
| 1538703079 | Ibtihal M Kadour | Pharmacist | 1798 Kapalua Bay Ln, Corona, CA 92883-0783 | 2019-10-28 |
| 1750856092 | Ting Chen | Pharmacist | 3525 100th St, Corona, NY 11368-1852 | 2018-10-12 |
| 1326573650 | Huong Le | Pharmacist | 2284 Marsant Ave, Corona, CA 92882-7592 | 2017-04-24 |
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1700325958 | Nathan Wu | Pharmacist | 4290 San Viscaya Cir, Corona, CA 92882-7955 | 2017-02-21 |
| 1285088229 | Kenneth Ahlrich | Pharmacist | 14829 Burrows Way, Corona, CA 92880-4503 | 2016-04-15 |
| 1881067205 | Yong Phou | Pharmacist | 7590 Sanctuary Dr, Corona, CA 92883-5942 | 2015-11-06 |
| 1336511633 | Shaikh A Ansari Sr. | Pharmacist | 11119 Roosevelt Ave, Corona, NY 11368-2625 | 2015-10-26 |
| Find all providers in CORONA | ||||
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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.