OrganizationActive
Kelly Kristin Wong, MD, Inc
NPI 1114006509 · Family Medicine Physician · Irvine, CA
Provider details
- NPI number
- 1114006509
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Wong, M.D.(949) 559-4480
- License
- A82648 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4950 Barranca Pkwy Ste 201
Irvine, CA 92604-4687
Phone: (949) 559-4480
Fax: (949) 262-7072
Street-level locationGet directions
Mailing address
4950 Barranca Pkwy Ste 201
Irvine, CA 92604-4687
Registry dates
- Enumerated
- 2006-11-04
- Last updated
- 2016-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.