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:
Map and Directions
Authorized official contact:
Name: Wong, King Yue Doctor of Optometry (OD)
Phone: (310) 471-9618

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871678557 NPPES
California Other SD0124611 MEDI CAL
California MEDICAID SD0124610 MEDI CAL

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