Organization · Type 2 NPI
Amy Wong D.d.s., Inc
Point of Service · San Gabriel, CA
NPI number
1063734036
Active
Practice location
1404 S San Gabriel Blvd Ste A
San Gabriel, CA 91776-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 56140 (CA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2 other providers at this address
About NPI 1063734036
Amy Wong D.d.s., Inc's National Provider Identifier is 1063734036, issued on Feb 18, 2010. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in San Gabriel, CA. The record was last updated on Nov 2, 2011.