MICHAEL WONG DENTAL CORPORATION (NPI# 1952909582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952909582 |
| Entity Type | Organization |
| Organization Name | MICHAEL WONG DENTAL CORPORATION |
| Practice Address |
11549 South Street Cerritos CA 90703 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 5622781609 |
| Practice Fax Number | 5622762570 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MICHAEL G WONG (OWNER) |
| Authorized Official Telephone | 5622781609 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Cerritos Smiles Dentistry Dental Group | Doing Business As Name - Organization |
| Street Address |
11549 SOUTH STREET |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| 1588107734 | Maria Teresa Quiocho Loquias I | Physical Therapist | 12427 Ashworth Place, Cerritos, CA 90703 | 2016-11-21 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1568928984 | Compean D.d.s. A Professional Corp. | Dentist | 10945 South St Ste 200a, Cerritos, CA 90703-5366 | 2019-02-11 |
| 1184108425 | Jiyoung Ha | Dentist | 13735 La Jara Cir, Cerritos, CA 90703-6351 | 2018-09-22 |
| 1144718834 | Michael Ray Nicholson | Dentist | 10929 South St Ste 106b, Cerritos, CA 90703-5373 | 2018-04-27 |
| 1588061253 | Angela Ondine Espiritu | Dentist | 19218 Bloomfield Ave, Cerritos, CA 90703-7106 | 2014-11-25 |
| 1780986604 | Shawn Hofkes | Dentist | 11480 South St, 201, Cerritos, CA 90703-6645 | 2010-11-29 |
| 1275841496 | Palarb Boonmee | Dentist | 19625 Sabrina Ct, Cerritos, CA 90703-7360 | 2010-09-22 |
| 1275762569 | Christy Ha Thai | Dentist | 11135 183rd St, Cerritos, CA 90703-5415 | 2009-07-07 |
| 1417116245 | Arlene Bulos Kamppila | Dentist | 19629 Alida Ave, Cerritos, CA 90703-7513 | 2008-06-06 |
| 1386814879 | Mario Hernani Mangune | Dentist | 11453 South St, Cerritos, CA 90703-6600 | 2008-03-11 |
| Find all providers in CERRITOS | ||||
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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.