Doctor Name: | MR. DOMINIC TAN WONG |
NPI Number: | 1366472649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | RN 587716 |
Business Practice Address: | 13652 Cantara St Balboa Plaza Bldg Panorama City, CA - 914025423 |
Business Phone Number: | 8188327287 |
Business Fax Number: | 8182500061 |
Mailing Address: | 15971 Thompson Ranch Drive, SANTA CLARITA |
State: | CA |
Postal Code: | 91387 |
Phone Number: | 8182882373 |
Fax Number: | 6612511681 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | RN 587716 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |