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

Kristin Grace Wong, PA-C

Individual provider Physician Assistant · NPI 1083508055

Kristin Grace Wong, PA-C is a Physician Assistant in Carson, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20920 Chico St
Carson, CA 90746-3603
Phone: (888) 530-4415
Fax: (833) 973-3630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083508055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 4, 2025
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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