OrganizationActive
Amy Wong D.D.S., Inc
NPI 1063734036 · Point of Service · San Gabriel, CA
Provider details
- NPI number
- 1063734036
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Amy Wong, President(626) 863-8575
- License
- 56140 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1404 S San Gabriel Blvd Ste a
San Gabriel, CA 91776-3603
Phone: (626) 863-8578
Approximate (ZIP-level) locationGet directions
Mailing address
1404 S San Gabriel Blvd Ste a
San Gabriel, CA 91776-3603
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2011-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.