Individual provider · Type 1 NPI

Brian Wong

Foot & Ankle Surgery Podiatrist · Ontario, CA

NPI number 1770928483 Active

Practice location

1520 N Mountain Ave # E122
Ontario, CA 91762-1128

Call (909) 623-4484 Map

Fax (909) 623-4485

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5235 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1770928483

Brian Wong's National Provider Identifier is 1770928483, issued on May 8, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ontario, CA. The record was last updated on Nov 19, 2018.