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

Dr. Kelly Tim Tim Wong, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215106448

Dr. Kelly Tim Tim Wong, DO is a Family Practice in Monterey Park, California. Graduated from Western University of Health Sciences College of Dental Med in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

500 N Garfield Ave Ste 105
Monterey Park, CA 91754-1242
Phone: (626) 288-3828
Fax: (626) 573-8513
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A10595 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1215106448
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 21, 2008
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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