DR. ANDREW KING-WAH WONG (M.D.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1083983845

DR. ANDREW KING-WAH WONG (M.D.) is a healthcare provider. based in Los angeles, California. specializing in ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A119262 (CA). The NPI Number for DR. ANDREW KING-WAH WONG (M.D.) is 1083983845

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW KING-WAH WONG (M.D.)
NPI
1083983845
Phone
Not provided
Address
1200 N STATE ST
Enumeration Date
23 December 2011
Last Update Date
30 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108028016
Graduation Year
2010 (16 years ago)
PAC ID
8022308105
Group Practice PAC ID
6406224567
Professional Enrollment ID
I20160601002188
Address ID
CA902662492MA3113XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

521 ALLERGY/IMMUNOLOGY in CA

Provider Addresses for DR. ANDREW KING-WAH WONG (M.D.)

  • 1200 N STATE ST

    CLINIC TOWER A7D

    LOS ANGELES, CA 900331029

    Phone:

    Type: Mailing

  • 3113 N SEPULVEDA BLVD STE A

    MANHATTAN BEACH, CA 902662492

    Phone: (310) 802-8016

    Fax: (310) 802-8031

    Type: Mailing

  • 1200 N State St

    Clinic Tower A7D

    Los Angeles, CA 900331029

    Phone: (323) 226-7556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 220 Open Payments records for all available years, with a total value of $5,367.

Total Amount is formed as General ($5,367) + Research ($0) + Ownership ($0) = $5,367.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($811).

Total Amount

$5,367

General + Research + Ownership

Payments

220

Total payment records

General Amount

$5,367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160601002188IAllergy/ImmunologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95165Professional service for preparation and provision of 1 or more antigens1,04330$0
95004Test for allergy using allergenic extract85613$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional31741$0
95117Professional service for multiple injections of allergen27433$0
99214Established patient office or other outpatient visit, 30-39 minutes4932$0
View full utilization report →

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406224567View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YCA

Reviews

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Frequently asked questions

What is DR. ANDREW KING-WAH WONG (M.D.)'s NPI number?
DR. ANDREW KING-WAH WONG (M.D.)'s NPI is 1083983845 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. ANDREW KING-WAH WONG (M.D.)?
For scheduling context, DR. ANDREW KING-WAH WONG (M.D.) is shown as active in the registry.
What expertise is attributed to DR. ANDREW KING-WAH WONG (M.D.)?
DR. ANDREW KING-WAH WONG (M.D.)'s specialty line reads Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANDREW KING-WAH WONG (M.D.) associated with Los Angeles?
Public fields place DR. ANDREW KING-WAH WONG (M.D.) around Los Angeles, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. ANDREW KING-WAH WONG (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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