Individual
BRIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-2986
Mailing address
UNIVERSITY HEAD & NECK SURGEON, PO BOX 513700, LOS ANGELES, CA 90051-3700
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
000000A50734
CA
Other
Enumeration date
10/03/2006
Last updated
12/18/2007
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