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

Jessica Wong Nurse Practitioner

Organization Nurse Practitioner · NPI 1417721770

Jessica Wong Nurse Practitioner provides Nurse Practitioner services in LA Mirada, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

15024 Imperial Hwy
LA Mirada, CA 90638-1301
Phone: (714) 457-9905
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417721770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Wong — Np · (714) 457-9905
NPI enumeratedNovember 8, 2023
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address15024 Imperial Hwy, La Mirada, CA 90638-1301

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