Dr. Ryan Lee Wong
Periodontist
10833 Le Conte Ave B0-130 Chs
Los Angeles
, California 90095-1668
Dr. Ryan Lee Wong
Periodontist
10833 Le Conte Ave B0-130 Chs
Los Angeles
, California 90095-1668
(818) 424-8536
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Ryan Lee Wong
- 22287 Mulholland Hwy # 149
- Calabasas, CA
- Zip : 91302-5157
- Phone : (818) 424-8536
Second Address
- Dr. Ryan Lee Wong
- 10833 Le Conte Ave B0-130 Chs
- Los Angeles, CA
- Zip : 90095-1668
- Fax : (310) 825-9653
- Phone : (310) 825-3795
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 104808 | CA |
National Provider Identifier
| NPI | 1134651300 |
|---|---|
| Provider Name | Dr. Ryan Lee Wong |
| First Address | Calabasas, CA 91302-5157 |
| Second Address | Los Angeles, CA 90095-1668 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2017 |
| Last Update Date | 02/12/2021 |
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.