IndividualActive
Carl Wong, D.P.M.
NPI 1609941053 · Sports Medicine Podiatrist · Culver City, CA
Provider details
- NPI number
- 1609941053
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-3240 (CA)
Practice location
3831 Hughes Avenue
Suite 700
Culver City, CA 90232
Phone: (310) 837-3668
Fax: (888) 382-5301
Mailing address
3831 Hughes Avenue
Culver City, CA 90232
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2016-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.