Individual
BRANDON MATTHEW WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 S ELISEO DR STE 2A, GREENBRAE, CA 94904-2017
(415) 464-5400
(415) 464-5413
Mailing address
1100 S ELISEO DR STE 2A, GREENBRAE, CA 94904-2017
(415) 464-5400
(415) 464-5413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55855
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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