IndividualActive
King Wong, OD
NPI 1336471440 · Pediatric Optometrist · Santa Monica, CA
Provider details
- NPI number
- 1336471440
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- OPT12461TPA (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1431 7th St
Suite # 201
Santa Monica, CA 90401-2637
Phone: (310) 395-2106
Fax: (310) 450-8580
Approximate (ZIP-level) locationGet directions
Mailing address
316 S Kenter Ave
Los Angeles, CA 90049-4022
Registry dates
- Enumerated
- 2010-02-01
- Last updated
- 2010-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.