Wong, Melanie M
Wong, Melanie M is an individual health care provider with primary practice located at 5201 Norris Canyon Rd Ste 230 , San Ramon CA 94583-5405. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Wong, Melanie M can be contacted via phone (925) 939-8585.Contact Information
Primary practice address
5201 Norris Canyon Rd Ste 230
San Ramon CA 94583-5405
Phone: (925) 939-8585
Fax: (925) 933-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT29203 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT29203 | California |
Profile Details
| NPI number | 1992891675 |
|---|---|
| LBN Legal business name | Wong, Melanie M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 18th, 2020 - about 6 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 | 1992891675 | NPPES |
| California | Other | EX714Z | MEDICARE PTAN |
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