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Deactivated NPI 1205935988 Deactivated / Inactive NPI Male Practitioner

Dr. Hak Pak Wong , MD

General Practice • El Segundo, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hak Wong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2006
NPI Deactivation Date April 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Hak Wong, MD was a registered General Practice practicing in El Segundo, CA. Throughout an active medical career spanning 19 years, Dr. Wong provided care at the practice location at 455 MAIN ST until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

455 Main St

El Segundo, CA 902453004

Telephone 3103221611
Fax 3103220748
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in El Segundo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
3 Specialists

Practicing in El Segundo, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G60841

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Arnold Chanin , MD

Family Medicine

NPI 1750471801

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

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Updated Practice Location September 11, 2024

Registered at 5757 W CENTURY BLVD # 875, WESTCHESTER, CA 900456401 (Tel: 3103221611)

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Updated Business Mailing Address September 11, 2024

Registered at 20269 INLAND LN, MALIBU, CA 902655319 (Tel: 3103221611)

NPI Profile Active April 11, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2011

Registered at 455 MAIN ST, EL SEGUNDO, CA 902453004 (Tel: 3103221611)

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Updated Business Mailing Address April 11, 2011

Registered at 455 MAIN ST, EL SEGUNDO, CA 902453004 (Tel: 3103221611)

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Provider Name / Credentials Updated April 11, 2011

Recorded as HAK WONG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2011

General Practice (License #G60841 in CA)

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Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205935988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: April 11, 2011
Deactivation Date: April 10, 2025

Mailing Address

455 Main St

El Segundo, CA 902453004

Phone: 3103221611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.