GRANGER B WONG M D INC
NPI 1609922962
Plastic Surgery in Roseville, CA

Active since January 26, 2007
576 N SUNRISE AVE, SUITE 120, ROSEVILLE, CA 95661(916) 791-7088(916) 791-7088 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Granger B Wong M D Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANGER B WONG M D INC (NPI 1609922962) is a healthcare organization registered as a plastic surgery in Roseville, California and active in the NPI registry since January 2007. The organization lists Granger Wong, President, as its authorized official.

NPPES Registry Identity

NPI1609922962
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGRANGER B WONG M D INC
Location Address576 N SUNRISE AVE, SUITE 120Roseville, CA 95661-2841
Mailing Address576 N Sunrise Ave, Suite 120Roseville, CA 95661-2841 · (916) 791-7088 · Fax (916) 791-6606
Fax(916) 791-7088
Organization SubpartNo
Authorized OfficialGranger WongPresident · (916) 791-7088
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 1, 2015
NPI 1609922962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in CA · A54333
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

576 N SUNRISE AVE, Roseville, CA 95661

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
576 N SUNRISE AVE, SUITE 110
ROSEVILLE, CA 95661
Family Medicine
576 N SUNRISE AVE, SUITE 220
ROSEVILLE, CA 95661
Family Medicine
576 N SUNRISE AVE, SUITE 220
ROSEVILLE, CA 95661
Dentist (General Practice)
576 N SUNRISE AVE, SUITE 140
ROSEVILLE, CA 95661
Dentist
576 N SUNRISE AVE, SUITE 140
ROSEVILLE, CA 95661
Dentist
576 N SUNRISE AVE, STE 140
ROSEVILLE, CA 95661
Internal Medicine
576 N SUNRISE AVE, 230A
ROSEVILLE, CA 95661
Optometrist
576 N SUNRISE AVE, 110
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609922962, enumerated as an "organization" on January 26, 2007.

The provider is located at 576 N SUNRISE AVE SUITE 120 ROSEVILLE, CA 95661 and the phone number is (916) 791-7088.

Plastic Surgery with taxonomy code 208200000X.