Search › California › 213ES0103X
Brian Wong
NPI 1770928483 · on the registry since 2013
Practice
- Address
- 1520 N Mountain Ave # E122
Ontario, CA 91762 - Phone
- (909) 623-4484
- Fax
- (909) 623-4485
- Organisation at this address
- Foot Heel Ankle Podiatry Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California