Brian Wong (NPI# 1770928483, PAC ID# 7911204367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1770928483 |
| PAC ID by PECOS | 7911204367 |
| Professional Enrollment ID | I20160607002462 |
| Full Name | Brian Wong |
| Address |
1520 N Mountain Ave E122 Ontario CA 91762-1128 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1520 N Mountain Ave, E122, Ontario, CA 91762-1128 |
| Street Address |
1520 N MOUNTAIN AVE E122 |
| City | ONTARIO |
| State | CA |
| Zip | 91762-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria Sudeta | Nurse Practitioner | Nagasamudra S Ashok Md Inc | 1520 N Mountain Ave, F128 Upland Ontario Medical Clinic, Ontario, CA 91762-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis A Chuck | Ophthalmology | 1211 W 6th St, Ontario, CA 91762-1103 | |
| Chi L Tsay | Anesthesiology | 1211 W 6th St, Ontario, CA 91762-1103 | |
| Stuart M Mann | Optometry | 1131 W 6th St, Suite 150, Ontario, CA 91762-1116 | |
| Michael L Wach | Podiatry | 1520 N Mountain, Ave Bldg E Suite 122, Ontario, CA 91762-1132 | |
| Michael Aaron Lalezarian | Diagnostic Radiology | Abid Hameed Khan Md Professional Corporation | 1001 W 6th St, Suite 1, Ontario, CA 91762-1213 |
| Abid Hammed Khan | Nephrology | Abid Hameed Khan Md Professional Corporation | 1001 W 6th St, Suite 1, Ontario, CA 91762-1213 |
| Cristian Santizo | Family Practice | Healthpointe Medical Group, Inc. | 754 N Mountain Ave, Ontario, CA 91762-2544 |
| Carlos Gonzalez | Physical Therapy | Healthpointe Medical Group, Inc. | 754 N Mountain Ave, Ontario, CA 91762-2544 |
| Amanda M Autran | Physical Therapy | Healthpointe Medical Group, Inc. | 754 N Mountain Ave, Ontario, CA 91762-2544 |
| Michael J Kim | Podiatry | Family Foot Center Podiatry Group Inc. | 728 N Euclid Ave, Ontario, CA 91762-2712 |
| Find all physicians in zip 91762 | |||
| City | ONTARIO |
| Zip Code | 91762 |
| Specialty | PODIATRY |
| City + Specialty | ONTARIO + PODIATRY |
Please comment or provide details below to improve the information on Brian Wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.