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

Dr. Jack K Wong, MD

Individual provider Family Medicine Physician · NPI 1790725539

Dr. Jack K Wong, MD is a Family Medicine Physician in Costa Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Bristol St Ste 600
Costa Mesa, CA 92626-1810
Phone: (805) 217-7904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C50860 (CA)

Record details

NPI number1790725539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address3200 Bristol St Ste 600, Costa Mesa, CA 92626-1810

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