Kylie Wong-Hazehara, DMD
NPI 1043004005 · Dentist · Seal Beach, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kylie Wong-Hazehara, DMD is a Dentist provider in Seal Beach, CA (NPI 1043004005).
Provider details
- NPI number
- 1043004005
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 111697 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is Kylie Wong-Hazehara's NPI number?
- Kylie Wong-Hazehara's National Provider Identifier (NPI) is 1043004005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kylie Wong-Hazehara's specialty?
- Kylie Wong-Hazehara is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kylie Wong-Hazehara located?
- Kylie Wong-Hazehara's practice location on file with NPPES is 4732 Fir Ave, Seal Beach, CA 90740-3011.
- What is Kylie Wong-Hazehara's phone number?
- The practice phone number listed in the NPPES registry for Kylie Wong-Hazehara is (626) 419-3681.
- Does Kylie Wong-Hazehara accept Medicare?
- Kylie Wong-Hazehara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kylie Wong-Hazehara's NPI active?
- Yes — Kylie Wong-Hazehara's NPI (1043004005) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.