Woo, Brian Michael
Woo, Brian Michael is an sole proprietor health care provider with primary practice located at 290 North Wayte Lane , Fresno CA 93701-1324. He recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Woo, Brian Michael can be contacted via phone (559) 459-5120.Contact Information
Primary practice address
290 North Wayte Lane
Fresno CA 93701-1324
Phone: (559) 459-5120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 50017 | California |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 50017 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 50017 | California |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | A107428 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | A107428 | California |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | A107428 | California |
Profile Details
| NPI number | 1558579144 |
|---|---|
| LBN Legal business name | Woo, Brian Michael |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558579144 | NPPES |
| California | Other | A107428 | MEDICAL LICENSE |
| California | Other | GA 1484 | MEDICAL LICENSE |
| California | Other | 50017 | MEDICAL LICENSE |
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