Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | A41506 | CA |
NPI | 1730391491 |
---|---|
Provider Name | Dr. Jin Chen C Wang |
First Address | Monrovia, CA 91016-3636 |
Second Address | Monrovia, CA 91016-3636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 27/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84164 | (02) | CA |