Grace I. Wong, M.D.

Internal Medicine Physician · Burbank, CA

Individual Active NPI

NPI number 1053504902

Practice location

3808 W Riverside Dr Ste 201
Burbank, CA 91505-4339
Phone
(818) 563-1449
Fax
(818) 563-1049

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NPI record

NPI
1053504902
Entity type
Individual (Type 1)
Enumeration date
August 23, 2007
Last updated
December 28, 2023
Certified
December 28, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X MD 432620 PA

About Dr. Wong

Grace I. Wong, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 3808 W Riverside Dr Ste 201, Burbank, CA 91505-4339. The NPI number 1053504902 was assigned on August 23, 2007 and the record was last updated on December 28, 2023.

Dr. Wong lists a license in the registry: #MD 432620 (PA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace I. Wong, M.D.?

The NPI number is 1053504902.

What is the phone number of Dr. Wong?

The phone number listed for the practice location is (818) 563-1449.

Where is Dr. Wong located?

3808 W Riverside Dr Ste 201, Burbank, CA 91505-4339.

What is the taxonomy code for Dr. Wong?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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