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DR. KEITH WONG M.D., M.S
NPI 1104200922
Family Medicine in Harbor City, CA

Active since July 10, 2015PECOS Enrolled
1403 LOMITA BLVD, SUITE 100, HARBOR CITY, CA 90710(310) 534-7600 Get Directions Write a Review

NPPES record last updated: March 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Wong M.d., M.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH WONG M.D., M.S (NPI 1104200922) is an individual family medicine provider in Harbor City, California, licensed in California (A145273) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104200922
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEITH WONGCredential: M.D., M.S
Location Address1403 LOMITA BLVD, SUITE 100Harbor City, CA 90710-2076
Mailing Address150 W Hedding StSan Jose, CA 95110-1706
Phone(310) 534-7600
Sole ProprietorNo
Enumeration DateJuly 10, 2015
Last NPPES UpdateMarch 2, 2019
✔ NPI 1104200922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A145273
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1403 LOMITA BLVD, Harbor City, CA 90710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Wong M.d., M.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELITA DOMINGO BUENO NP
Nurse Practitioner (Women's Health)
1403 LOMITA BLVD
HARBOR CITY, CA 90710
Los Angeles County (310) 784-5800
BAY HARBOR MRI INC
Specialist
1403 LOMITA BLVD, SUITE 107
HARBOR CITY, CA 90710
Los Angeles County (310) 325-9901
DR. JOANNE JEEYOUNG CHO MD
Family Medicine
1403 LOMITA BLVD, SUITE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 534-7600
REBECCA MARIE DEANS M.D.
Family Medicine
1403 LOMITA BLVD, SECOND FLOOR
HARBOR CITY, CA 90710
Los Angeles County (310) 534-6221
DR. LUCIA A MUNOZ M.D.
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD, SUITE102
HARBOR CITY, CA 90710
Los Angeles County (310) 534-7600
COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
Clinic/Center
1403 LOMITA BLVD, SUITE 102, ROOMS 1-26 & CONFERENCE ROOM
HARBOR CITY, CA 90710
Los Angeles County (310) 534-6221
DR. MANUEL DIEGO CAMPA M.D.
Family Medicine
1403 LOMITA BLVD, SUITE 200
HARBOR CITY, CA 90710
Los Angeles County (310) 534-7600
LAURIE ANN JAMES DO
Emergency Medicine
1403 LOMITA BLVD, SUITE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 257-4991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Wong's NPI number?

The NPI number for Keith Wong is 1104200922. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Keith Wong located?

Keith Wong practices at 1403 Lomita Blvd Suite 100, Harbor City, CA 90710. The listed phone number is (310) 534-7600.

What is Keith Wong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Wong enrolled in Medicare?

Yes. Keith Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Wong was last updated on March 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.