Wong, Richie Phu
Wong, Richie Phu is an sole proprietor health care provider with primary practice located at 19231 Victory Blvd Ste 110 , Reseda CA 91335-6321. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wong, Richie Phu can be contacted via phone (818) 708-4500.Contact Information
Primary practice address
19231 Victory Blvd Ste 110
Reseda CA 91335-6321
Phone: (818) 708-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY23687 | California |
Profile Details
| NPI number | 1215098595 |
|---|---|
| LBN Legal business name | Wong, Richie Phu |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jun 1st, 2021 - about 5 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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