NPI 1245705805

Jason Frank Wong, BOCOBOCP

Practitioner Prosthetist Sacramento, CA

Practice location

Address: 8143 Gandy Dancer Way, Sacramento, CA 95823-5928
Phone: (916) 752-8905

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence C50840

Other Prosthetist providers in California →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C50840

Other Orthotist providers in California →

Registry record

NPI: 1245705805
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2018
Record last updated: 10 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.