Individual
DR. BRIAN MATTHEW WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
Mailing address
1250 BELLINGHAM SQ, SAN RAMON, CA 94582-5198
(925) 997-8830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88609
CA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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