1487126082 NPI number — ALEXANDER CARLOS MATOS WONG DDS

Table of content: KETAL PATEL (NPI 1275140980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487126082 NPI number — ALEXANDER CARLOS MATOS WONG DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MATOS WONG
Provider First Name:
ALEXANDER
Provider Middle Name:
CARLOS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487126082
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15120 MAGNOLIA BOULEVARD
Provider Second Line Business Mailing Address:
APARTMENT 106
Provider Business Mailing Address City Name:
SHERMAN OAKS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91403-1219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-326-2873
Provider Business Mailing Address Fax Number:
818-646-0800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15120 MAGNOLIA BOULEVARD
Provider Second Line Business Practice Location Address:
APARTMENT 106
Provider Business Practice Location Address City Name:
SHERMAN OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91403-1219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-326-2873
Provider Business Practice Location Address Fax Number:
818-646-0800
Provider Enumeration Date:
12/19/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  103436 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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