Organization
PENINSULA PULMONARY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEITH WONG MD (PARTNER)
(310) 378-8900
Entity
Organization
Contact information
Practice address
3701 SKYPARK DR, #200, TORRANCE, CA 90505-4753
(310) 378-8900
(310) 791-0786
Mailing address
3701 SKYPARK DR, #200, TORRANCE, CA 90505-4753
(310) 378-8900
(310) 791-0786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
07/10/2006
Last updated
06/29/2010
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