King Yue Wong Od Inc
LBN: King Yue Wong Od Inc
King Yue Wong Od Inc is an health care organization with primary practice located at 1431 Seventh Street Suite #201, Santa Monica CA 90401-2638. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
King Yue Wong Od Inc can be contacted via phone (310) 450-9998, or through Wong, King Yue via phone (310) 471-9618.
Contact Information
Primary practice address
1431 Seventh Street Suite #201
Santa Monica CA 90401-2638
Phone: (310) 450-9998
Fax: (310) 450-8580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT12461TPA | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPT12461TPA | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPT12461TPA | California |
Profile Details
| NPI number | 1871678557 |
|---|---|
| LBN Legal business name | King Yue Wong Od Inc |
| DBA Doing business as | |
| Authorized official | Wong, King Yue Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871678557 | NPPES |
| California | Other | SD0124611 | MEDI CAL |
| California | MEDICAID | SD0124610 | MEDI CAL |
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