Provider Demographics
NPI:1942680012
Name:NG, WENDY KAR YEE (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:KAR YEE
Last Name:NG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 S MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3845
Mailing Address - Country:US
Mailing Address - Phone:714-988-6330
Mailing Address - Fax:714-988-6360
Practice Address - Street 1:396 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3845
Practice Address - Country:US
Practice Address - Phone:714-988-6330
Practice Address - Fax:714-988-6360
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1125822082S0105X
AZ507022086S0122X
CAA1448422086S0122X
AZ00000174400000X
AZ000000207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No174400000XOther Service ProvidersSpecialist
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPENDINGMedicaid
AZ0000000000Medicare NSC