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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DOMINIC TAN WONG, GNP-BC

Active

MR. DOMINIC TAN WONG, GNP-BC is a Nurse Practitioner healthcare provider located in PANORAMA CITY, California. NPI 1366472649 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PANORAMA CITY, CA

Registration Details

NPI Number
1366472649
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (20.107253342699 yrs)
Last Updated
Feb 16, 2023
Licenses
RN 587716 (CA)
587716 (CA)
NP 15170 (CA)
15170 (CA)
15170 (CA)

Practice Information

Address
13652 CANTARA ST
BALBOA PLAZA BLDG
PANORAMA CITY, CA, 914025423
Browse CA providers · Browse ZIP 91402
Phone
8188327287
Fax
8182500061
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse
Additional Specialty
Gerontological Nurse
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in PANORAMA CITY, CA

Name Credential NPI
JOCYLANE MATEO DINSAY N.P. 1144262395
TINA J WOOLFORK NP 1023038437
ROXANNE E CHINNON-FELDMAN NP 1659430387
LONELYSS C LEWIS NP 1235298969
VICTORIA L BRENNAN NP 1417016148
VELDA C MOWRY NP 1114086832
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.