Healthcare Provider Details

I. General information

NPI: 1871427856
Provider Name (Legal Business Name): JASON C. WONG,MD,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N GARFIELD AVE STE 204
MONTEREY PARK CA
91754-1242
US

IV. Provider business mailing address

500 N GARFIELD AVE STE 204
MONTEREY PARK CA
91754-1242
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-4393
  • Fax: 626-280-5379
Mailing address:
  • Phone: 626-280-4393
  • Fax: 626-280-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON C WONG
Title or Position: OWNER
Credential: MD
Phone: 626-280-4393