Individual
BRIAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 HILLHURST AVE UNIT V794, LOS ANGELES, CA 90027-2712
(323) 849-0149
Mailing address
1920 HILLHURST AVE UNIT V794, LOS ANGELES, CA 90027-2712
(323) 849-0149
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A134904
CA
Other
Enumeration date
04/03/2015
Last updated
08/01/2025
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