Wong, Brian William

Wong, Brian William is an individual health care provider with primary practice located at 2492 Walnut Ave Ste 140 , Tustin CA 92780-6953. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wong, Brian William can be contacted via phone (714) 544-2188.

Contact Information

Primary practice address
2492 Walnut Ave Ste 140 Tustin CA 92780-6953
Phone: (714) 544-2188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT13998 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT13998 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT13998 California

Profile Details

NPI number 1255534418
LBN Legal business name Wong, Brian William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255534418 NPPES
California Other PT13998 PT LICENSE#

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