Healthcare Provider Details

I. General information

NPI: 1437073657
Provider Name (Legal Business Name): NGA LAM WONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN NGA LAM WONG

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 23RD ST BLDG 73
SAN FRANCISCO CA
94143-2500
US

IV. Provider business mailing address

2550 23RD ST. BLDG. 9, FL. 2
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-2124
  • Fax:
Mailing address:
  • Phone: 647-465-5626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA211154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: