Individual
BRIAN ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39155 WASHINGTON ST, PALM DESERT, CA 92211-1259
(760) 772-7075
Mailing address
39155 WASHINGTON ST, PALM DESERT, CA 92211-1259
(760) 772-7075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69869
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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