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

Mia Wong, NP

Individual provider Nurse Practitioner · NPI 1336874635

Mia Wong, NP is a Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017-4803
Phone: (213) 977-1214
Fax: (213) 482-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95021745 (CA)

Record details

NPI number1336874635
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 20, 2022
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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