Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 31122 | OK |
Y | 207SG0201X | Clinical Genetics (M.D.) | A139175 | CA |
N | 208000000X | Pediatrician | A139175 | CA |
NPI | 1467890632 |
---|---|
Provider Name | Dr. Hua Wang |
First Address | Los Angeles, CA 90074-4701 |
Second Address | San Bernardino, CA 92408-4162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 02/01/2019 |