Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Wong Nurse Practitioner

Organization Nurse Practitioner · NPI 1417721770

Jessica Wong Nurse Practitioner is a Nurse Practitioner in LA Mirada, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

15024 Imperial Hwy
LA Mirada, CA 90638-1301
Phone: (714) 457-9905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417721770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Wong — Np · (714) 457-9905
NPI enumeratedNovember 8, 2023
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address15024 Imperial Hwy, La Mirada, CA 90638-1301

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