Individual
BRIAN WILLIAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2492 WALNUT AVE STE 140, TUSTIN, CA 92780-6953
(714) 544-2188
Mailing address
2492 WALNUT AVE STE 140, TUSTIN, CA 92780-6953
(714) 544-2188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT13998
CA
2251S0007X
Sports Physical Therapist
PT13998
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT13998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT13998
PT LICENSE#
CA
Enumeration date
06/06/2007
Last updated
09/11/2025
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