Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANGER BRADFORD WONG, MD,DMD,FACS
Active Sole ProprietorDR. GRANGER BRADFORD WONG, MD,DMD,FACS is a Plastic Surgery healthcare provider located in SACRAMENTO, California. NPI 1225013790 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · SACRAMENTO, CA
Registration Details
- NPI Number
- 1225013790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.693888005074 yrs)
- Last Updated
- Mar 10, 2014
- Licenses
-
A54333 (CA)A54333 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2221 STOCKTON BLVDSACRAMENTO, CA, 958171418Browse CA providers · Browse ZIP 95817
- Phone
- 9167342130
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Other Plastic Surgery Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LEE L. Q. PU | MD, PHD | 1629034558 |
| DR. ANGELO CAPOZZI | M.D. | 1164488201 |
| DR. CATHERINE M RIOLO | M.D. | 1275572109 |
| DR. PRABHAS TUNG | M.D. | 1497768899 |
| KENNETH O. PHILLIPS | MD | 1306924022 |
| ALAN Y. LIM | MD | 1609954346 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.