Provider Demographics
NPI:1447420989
Name:WONG, ALINE YEN-YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALINE
Middle Name:YEN-YIN
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1045 ATLANTIC AVE
Mailing Address - Street 2:STE 605
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3408
Mailing Address - Country:US
Mailing Address - Phone:562-901-6767
Mailing Address - Fax:562-901-6777
Practice Address - Street 1:1045 ATLANTIC AVE
Practice Address - Street 2:STE 605
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3408
Practice Address - Country:US
Practice Address - Phone:562-901-6767
Practice Address - Fax:562-901-6777
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA100918208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics