Mr. Dominic Tan Wong, GNP-BC
Mr. Dominic Tan Wong, GNP-BC is a Nurse Practitioner in Panorama City, California. Qualified in 2004, 22 years ago. Practices with Meticulous Health Care PC, a 6-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 22
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
13652 Cantara St Balboa Plz BldgPanorama City, CA 91402-5423
Phone: (818) 832-7287
Fax: (818) 250-0061
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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 15170 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN 587716 (CA) |
| Registered Nurse | Taxonomy 163W00000X · Licence 587716 (CA) |
| Gerontology Registered Nurse | Taxonomy 163WG0600X · Licence NP 15170 (CA) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 15170 (CA) |
Record details
| NPI number | 1366472649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | GNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 3, 2006 |
| Last updated in NPPES | February 16, 2023 |
| Certification date | February 16, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Meticulous Health Care Pc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Panorama City
-
Katerine Quintanilla, NAR
8787 Ranchito Ave, Panorama City, CA 91402-2640 · (818) 221-8488
-
Mrs. Elizabeth L Razo, RN, BSN
8743 Colbath Ave, Panorama City, CA 91402-3304 · (818) 618-0034
-
Mrs. Georgia Damilo Regalado, RN
8437 Kester Ave, Panorama City, CA 91402-2720 · (818) 935-1210
-
MS. MA Lourdes Valencia
13466 Crowley St, Panorama City, CA 91402-4007 · (818) 448-2705