MEDICARE: DR. HARRISON WONG DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	105081	CA

General Provider Information

NPI Number	:	1053966705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRISON WONG DMD

Provider Business Mailing Address
First Line	:	10535 WILSHIRE BLVD APT 1412
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4564
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 GREENLEAF AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-4110
Country	:	US
Telephone Number	:	562-698-0054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2019
Last Update Date	:	04/30/2021

Similar Medicare Providers

1154320760 — MARSDEN SHOE CO
Practice Location Address:

6707 GREENLEAF AVE
WHITTIER, CA
90601-4110

Practice Phone: 562-698-7281
Practice Fax: 562-693-0462

1215060769 — MRS. MARCELA I PEREZ ZEPEDA
Practice Location Address:

6711 GREENLEAF AVE
WHITTIER, CA
90601-4110

Practice Phone: 562-698-0054
Practice Fax: 562-698-1014

1205090677 — MARCELA I. PEREZ, D.D.S., INC.
Practice Location Address:

6711 GREENLEAF AVE
WHITTIER, CA
90601-4110

Practice Phone: 562-698-0054
Practice Fax:

1699006916 — CENTER FOR INTEGRATED FAMILY AND HEALTH SERVICES
Practice Location Address:

6709 GREENLEAF AVE , #300 & #304
WHITTIER, CA
90601-4110

Practice Phone: 562-693-0759
Practice Fax: 562-945-5915

1720779390 — WOOD AND HABASHY DENTAL PARTNERSHIP
Practice Location Address:

6711 GREENLEAF AVE
WHITTIER, CA
90601-4110

Practice Phone: 562-698-0054
Practice Fax:

1154006773 — DR. CHRISTOPHER MARTINEZ DDS
Practice Location Address:

6711 GREENLEAF AVE
WHITTIER, CA
90601-4110

Practice Phone: 562-698-0054
Practice Fax:

Directions to “ DR. HARRISON WONG DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.