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SHI YIN WONG MD, A MEDICAL CORPORATION
NPI 1619029964
General Practice in Los Angeles, CA

Active since January 17, 2007CLIA 05D0541205 · Waiver
407 W COLLEGE ST, LOS ANGELES, CA 90012(213) 626-3589(213) 626-7868 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shi Yin Wong Md, A Medical Corporation NPPES

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

SHI YIN WONG MD, A MEDICAL CORPORATION (NPI 1619029964) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Shi Yin Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1619029964
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSHI YIN WONG MD, A MEDICAL CORPORATION
Location Address407 W COLLEGE STLos Angeles, CA 90012-2313
Mailing Address407 W College StLos Angeles, CA 90012-2313 · (213) 626-3589 · Fax (213) 626-7868
Phone(213) 626-3589
Fax(213) 626-7868
Organization SubpartNo
Authorized OfficialShi Yin WongOwner · (213) 626-3589
Enumeration DateJanuary 17, 2007
Last NPPES UpdateNovember 16, 2010
✔ NPI 1619029964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G34772
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
407 W COLLEGE ST, Los Angeles, CA 90012
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedW15064CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0541205

Shi-Yin Wong MD, A Medical Corporation · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0541205
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShi Yin Wong
Laboratory Phone(213) 626-3589
Laboratory LocationShi-Yin Wong MD, A Medical Corporation407 W College, Los Angeles, CA 90012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. LYNN KIM TRAN PA-C
Physician Assistant
407 W COLLEGE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 626-3589

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 Shi Yin Wong MD, A Medical Corporation's NPI number?

The NPI number for Shi Yin Wong MD, A Medical Corporation is 1619029964. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Shi Yin Wong MD, A Medical Corporation located?

Shi Yin Wong MD, A Medical Corporation is located at 407 W College St, Los Angeles, CA 90012. The listed phone number is (213) 626-3589.

What is Shi Yin Wong MD, A Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Shi Yin Wong MD, A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0541205) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shi Yin Wong MD, A Medical Corporation was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.