Wong, Garrett B.

Wong, Garrett B. is an individual health care provider with primary practice located at 4860 Y St # 2820 , Sacramento CA 95817-2307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wong, Garrett B. can be contacted via phone (916) 734-3764.

Contact Information

Primary practice address
4860 Y St # 2820 Sacramento CA 95817-2307
Fax: (916) 734-8394
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A71922 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A71922 Colorado

Profile Details

NPI number 1336112085
LBN Legal business name Wong, Garrett B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 16th, 2008 - about 16 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 1336112085 NPPES
California MEDICAID 00A719220

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