Individual
BRYAN CHUNG-YUN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6075
Mailing address
140 N ANN ST, VENTURA, CA 93001-2111
(805) 652-6075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G766180
CA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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