Wong, Peter

Wong, Peter is an sole proprietor health care provider with primary practice located at 4714 Broomtail Ct , Antioch CA 94531-9305. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Wong, Peter can be contacted via phone (415) 859-0460.

Contact Information

Primary practice address
4714 Broomtail Ct Antioch CA 94531-9305
Phone: (415) 859-0460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1467995241
LBN Legal business name Wong, Peter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2016
Last updated May 31st, 2023 - about last year

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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