Individual
BRIAN GORDON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 W CESAR E CHAVEZ AVE, LOS ANGELES, CA 90012-2104
(213) 337-0174
Mailing address
701 W CESAR E CHAVEZ AVE, LOS ANGELES, CA 90012-2104
(213) 337-0174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70518
CA
Other
Enumeration date
03/28/2014
Last updated
10/03/2015
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