Wong, Brian Keith
Wong, Brian Keith is an individual health care provider with primary practice located at 3701 Skypark Dr #200, Torrance CA 90505-4753. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wong, Brian Keith can be contacted via phone (310) 378-8900.Contact Information
Primary practice address
3701 Skypark Dr #200
Torrance CA 90505-4753
Phone: (310) 378-8900
Fax: (310) 791-0786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 93255 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 93255 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 93255 | California |
Profile Details
| NPI number | 1316926488 |
|---|---|
| LBN Legal business name | Wong, Brian Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | May 10th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316926488 | NPPES |
| California | MEDICAID | 00G472900 | |
| California | MEDICAID | 1316926488 |
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