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KELLY KRISTIN WONG, MD, INC
NPI 1114006509
Family Medicine in Irvine, CA

Active since November 04, 2006
4950 BARRANCA PKWY STE 201, IRVINE, CA 92604(949) 559-4480(949) 262-7072 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Kristin Wong, Md, Inc NPPES

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

KELLY KRISTIN WONG, MD, INC (NPI 1114006509) is a healthcare organization registered as a family medicine in Irvine, California and active in the NPI registry since November 2006. The organization lists Kelly Kristin Wong, M.d., as its authorized official.

NPPES Registry Identity

NPI1114006509
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKELLY KRISTIN WONG, MD, INC
Location Address4950 BARRANCA PKWY STE 201Irvine, CA 92604-4687
Mailing Address4950 Barranca Pkwy Ste 201Irvine, CA 92604-4687 · (949) 559-4480 · Fax (949) 262-7072
Phone(949) 559-4480
Fax(949) 262-7072
Organization SubpartNo
Authorized OfficialKelly Kristin WongM.d. · (949) 559-4480
Enumeration DateNovember 4, 2006
Last NPPES UpdateJuly 22, 2016
✔ NPI 1114006509 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 · A82648
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.
4950 BARRANCA PKWY STE 201, Irvine, CA 92604
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kelly Kristin Wong, MD, Inc's NPI number?

The NPI number for Kelly Kristin Wong, MD, Inc is 1114006509. It was assigned to this organization in the NPPES registry on November 4, 2006.

Where is Kelly Kristin Wong, MD, Inc located?

Kelly Kristin Wong, MD, Inc is located at 4950 Barranca Pkwy Ste 201, Irvine, CA 92604. The listed phone number is (949) 559-4480.

What is Kelly Kristin Wong, MD, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Kristin Wong, MD, Inc was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.