Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELLIS C. WONG,DDS,INC.
Active
Organization
ELLIS C. WONG,DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS CHARLES WONG DDS (PRESIDENT)
(323) 464-5555
Entity
Organization
Contact information
Practice address
607 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1307
(323) 464-5555
(323) 464-3075
Mailing address
607 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1307
(323) 464-5555
(323) 464-3075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29004
CA
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up