Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 000000A53392 | CA |
NPI | 1053416461 |
---|---|
Provider Name | Ping H Wang |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Newport Beach, CA 92660-7798 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 18/11/2020 |