Individual ProviderJoe Andrews OngNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10833 Le Conte Ave, 64-128 Chs, Los Angeles, CA 90095-3075(310) 794-7333PECOS EnrollmentBased on the most recent information from CMS, provider Joe Andrews Ong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1376821405Provider TypeIndividualFull NameOng, Joe AndrewsCredentialNURSE PRACTITIONERGenderMaleSole ProprietorNoEnumeration Date7/22/2011Last Updated8/3/2011Contact InformationPractice LocationPractice Address10833 Le Conte Ave, 64-128 Chs, Los Angeles, CA 90095-3075Phone(310) 794-7333Fax(310) 794-7335Mailing LocationMailing Address10833 Le Conte Ave, 64-128 Chs, Los Angeles, CA 90095-3075Phone(310) 794-7333Fax(310) 794-7335Provider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP20499CaliforniaCode364SA2100XDescriptionClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing ProvidersLicenseCNS3570California