Individual
BRANDON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
351 PARK SHADOW CT, BALDWIN PARK, CA 91706-3295
(626) 731-0152
Mailing address
2275 HUNTINGTON DR # 104, SAN MARINO, CA 91108-2640
(626) 731-0152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62828
CA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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