Individual provider · Type 1 NPI

Tin Wong, DO

Adult Medicine Physician · Los Angeles, CA

NPI number 1588927552 Active

Practice location

711 W College St
Los Angeles, CA 90012-1163

Mailing address

711 W College St Ste 208
Los Angeles, CA 90012-1093

Other practice locations

  • 176 Palisade Ave, Jersey City, NJ 07306-1121 · (215) 787-9000
  • 500 N Garfield Ave, Monterey Park, CA 91754-1242 · (626) 288-6858

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOT014708 (PA)
Student in an Organized Health Care Education/Training Program 390200000XP13-00487 (NJ)
Adult Medicine Physician Primary 207QA0505X20A13729 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

32 other providers at this address

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About NPI 1588927552

Tin Wong, DO's National Provider Identifier is 1588927552, issued on Jun 24, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 17, 2018.