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DR. ANGELICA PAMELA WONG DDS NPI 1609920529


NPI Information

NPI: 1609920529
Provider Name: DR. ANGELICA PAMELA WONG, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
151 S MEDNIK AVE
LOS ANGELES, CA
ZIP 90022
Phone: (323) 263-3303
Get Directions

DR. Angelica Pamela Wong, DDS is a pediatric dentistry dentist in Los Angeles, CA. The provider is 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. DR. Angelica Pamela Wong, DDS NPI is 1609920529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 S MEDNIK AVE
LOS ANGELES, CA
ZIP 90022-606
Phone: (323) 263-3303
Fax: (323) 263-3341

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry54667CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
154667MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADENTI-CAL
254667OTHERCALIFORNIADELTA DENTAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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