Individual
BRUCE WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-4000
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 656-1500
(951) 656-1510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00588500
NJ
207R00000X
Internal Medicine Physician
2OA13770
CA
207RI0200X
Infectious Disease Physician
Primary
2OA13770
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2006
Last updated
08/27/2018
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