DR. MARK WONG (NPI# 1942542162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942542162 |
| Entity Type | Individual |
| Full Name | DR. MARK WONG |
| Credential | M.S., D.D.S. |
| Practice Address |
320 W Badillo St Suite 201 Covina CA 91723-1833 |
| Practice Telephone | 6269663131 |
| Practice Fax Number | 6269667603 |
| Mailing Telephone | 6269663131 |
| Mailing Fax Number | 6269667603 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
42021 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689134405 | Mark Wong | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2019-03-20 |
| 1346658986 | Mark Wong | Pharmacist | 440 N Euclid St, Anaheim, CA 92801-5531 | 2014-07-28 |
| 1538363437 | Mark Alan Wong | Dentist | 2991 Treat Blvd, Suite B, Concord, CA 94518-3616 | 2007-06-13 |
| 1316067507 | Mark L. Wong | Chiropractor | 1100 S El Camino Real, San Mateo, CA 94402-2804 | 2007-03-30 |
| 1720136724 | Mark Jeffrey Wong | Chiropractor | 3540 Grand Ave, Oakland, CA 94610-2010 | 2007-01-08 |
| 1235244989 | Mark Wong | Pharmacist | 650 E Indian School Rd, Section 119a, Phoenix, AZ 85012-1839 | 2006-08-21 |
| 1841224714 | Mark E Wong | Dentist | 6550 Fannin St, 2237, Houston, TX 77030-2717 | 2006-07-10 |
| 1821054081 | Mark Wong | Internal Medicine | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-04-25 |
| Street Address |
320 W BADILLO ST SUITE 201 |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982797783 | Wei-ping Penny Peng | Dentist | 320 W Badillo St, Suite 101, Covina, CA 91723-1833 | 2006-10-02 |
| 1790114627 | Allen King Wong | Dentist | 320 W Badillo St, Suite 201, Covina, CA 91723-1833 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275798340 | Ronald L. Garibaldi Dds A Professional Corporation | Dentist | 472 W Badillo St, Covina, CA 91723-1829 | 2008-07-28 |
| 1750412714 | Allen King Wong, Dds, Inc. | Dentist | 320 W Badillo St Ste 201, Covina, CA 91723-1833 | 2007-03-08 |
| 1649329145 | Dan D. Banh | Dentist | 512 W Badillo St, Covina, CA 91722-3762 | 2007-01-10 |
| 1790114627 | Allen King Wong | Dentist | 320 W Badillo St, Suite 201, Covina, CA 91723-1833 | 2013-11-01 |
| 1992856835 | J Marc Haney | Dentist | 166 W College St, Covina, CA 91723 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.