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

Ian Wong

Individual provider Pediatrics Physician · NPI 1174152128

Ian Wong is a Pediatrics Physician in San Diego, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

11943 El Camino Real Ste 210
San Diego, CA 92130-2597
Phone: (858) 793-1011
Fax: (858) 793-1035
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A22519 (CA)

Record details

NPI number1174152128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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