Keith Wong, M.D., M.S
NPI 1104200922 · Family Medicine Physician · Harbor City, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Wong, M.D., M.S is a Family Medicine Physician provider in Harbor City, CA (NPI 1104200922).
Provider details
- NPI number
- 1104200922
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.S
- Sex
- Male
- Sole proprietor
- No
- License
- A145273 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
- 2015-07-10
- Last updated
- 2019-03-02
Frequently asked questions
- What is Keith Wong's NPI number?
- Keith Wong's National Provider Identifier (NPI) is 1104200922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Wong's specialty?
- Keith Wong is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Keith Wong located?
- Keith Wong's practice location on file with NPPES is 1403 Lomita Blvd, Harbor City, CA 90710-2076.
- What is Keith Wong's phone number?
- The practice phone number listed in the NPPES registry for Keith Wong is (310) 534-7600.
- Does Keith Wong accept Medicare?
- Keith Wong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Wong's NPI active?
- Yes — Keith Wong's NPI (1104200922) is active in the NPPES registry as of the last update on 2019-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.