Wong, King Yue

Wong, King Yue is an sole proprietor health care provider with primary practice located at 1431 7Th St Suite # 201, Santa Monica CA 90401-2637. He 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 / Pediatrics is his primary health care specialty. Wong, King Yue can be contacted via phone (310) 395-2106.

Contact Information

Primary practice address
1431 7Th St Suite # 201 Santa Monica CA 90401-2637
Phone: (310) 395-2106
Fax: (310) 450-8580
Website:
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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 1336471440
LBN Legal business name Wong, King Yue
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2010
Last updated Feb 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336471440 NPPES
California Other SD0124611 MEDICAID (2ND OFFICE)
California Other 1871678557 MEDICAID (2ND OFFICE)
California MEDICAID SD0124610 MEDICAID (2ND OFFICE)

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