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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREANE WONG, PA

Active Sole Proprietor

BREANE WONG, PA is a Physician Assistant healthcare provider located in MENLO PARK, California. NPI 1659921039 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MENLO PARK, CA

Registration Details

NPI Number
1659921039
Provider Type
Individual
Gender
Female
NPI Issued
Sep 17, 2019 (6.7629490140301 yrs)
Last Updated
May 1, 2020
License
PA57180 (CA)
Sole Proprietor
Yes

Practice Information

Address
1706 EL CAMINO REAL STE 101
MENLO PARK, CA, 940274127
Browse CA providers · Browse ZIP 94027
Phone
6503251395
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MENLO PARK, CA

Name Credential NPI
JEFFREY SCOTT POWERS PA 1891965448
SHANNA MAE MCCUE PA-C 1144912593
KUNANI TUTTLE 1821876418
LINDA LAM NGUYEN PA-C 1104670108
JONATHAN PURTELL 1194609438
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.