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

Stacey Mi Wong

Individual provider Physician Assistant · NPI 1295270783

Stacey Mi Wong is a Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

400 W 30th St
Los Angeles, CA 90007-3320
Phone: (213) 284-3200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54094 (CA)

Record details

NPI number1295270783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2016
Last updated in NPPESDecember 20, 2016

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