Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A127787 | CA |
Y | 208600000X | Surgeon | A127787 | CA |
N | 2086S0105X | Surgery of the Hand | A127787 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | A127787 | CA |
NPI | 1811262959 |
---|---|
Provider Name | Eric D Wang |
First Address | Orange, CA 92868-3224 |
Second Address | Orange, CA 92868-3224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 03/08/2020 |