Physician Compare National (NPI:1750340964)

HEALTHCARE PROVIDER: KIN CHIU WONG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750340964
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254307523
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040908000713
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WONG
	Individual professional last name
Provider First Name	KIN
	Individual professional first name
Provider Middle Name	CHIU
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10201 MISSION GORGE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE K
	Group Practice or individual's line 2 address
City	SANTEE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920713026
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6194482866
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050026
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GROSSMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y