Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GRACE WONG MD INC
Active
Organization
GRACE WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE WONG M.D. (PRESIDENT)
(626) 347-9074
Entity
Organization
Contact information
Practice address
3808 W RIVERSIDE DR STE 201, BURBANK, CA 91505-4339
(818) 563-1449
Mailing address
3808 W RIVERSIDE DR STE 201, BURBANK, CA 91505-4339
(626) 347-9074
(818) 509-5939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A96700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053504902
TYPE 1 NPI
CA
Enumeration date
11/23/2011
Last updated
12/28/2023
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