Dr. Kenji Wong Morimoto
Pediatric Hematology-Oncologist
10833 Le Conte Ave Ucla Hopsital
Los Angeles
, California 90095-3075
Dr. Kenji Wong Morimoto
Pediatric Hematology-Oncologist
10833 Le Conte Ave Ucla Hopsital
Los Angeles
, California 90095-3075
(310) 913-2910
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Kenji Wong Morimoto
- 1220 Stratford Ave
- South Pasadena, CA
- Zip : 91030-3941
- Phone : (310) 913-2910
Second Address
- Dr. Kenji Wong Morimoto
- 10833 Le Conte Ave Ucla Hopsital
- Los Angeles, CA
- Zip : 90095-3075
- Phone : (310) 794-7304
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | A96025 | CA |
National Provider Identifier
| NPI | 1134334527 |
|---|---|
| Provider Name | Dr. Kenji Wong Morimoto |
| First Address | South Pasadena, CA 91030-3941 |
| Second Address | Los Angeles, CA 90095-3075 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2007 |
| Last Update Date | 18/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.