Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A166430 | CA |
Y | 111NI0900X | Internist | A166430 | CA |
NPI | 1003311572 |
---|---|
Provider Name | Annie Yuning Wang |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-7023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2018 |
Last Update Date | 26/10/2021 |