Individual provider · Type 1 NPI

Mia Wong, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1336874635 Active

Practice location

1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017-4803

Call (213) 977-1214 Map

Fax (213) 482-8868

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95021745 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336874635

Mia Wong, NP's National Provider Identifier is 1336874635, issued on Jul 20, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 23, 2023.