MEDICARE: QINGPING WANG M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	C146170	CA

General Provider Information

NPI Number	:	1104818590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QINGPING WANG M.D., PH.D.

Provider Business Mailing Address
First Line	:	2260 GELLERT BLVD 1103
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5431
Country	:	US
Telephone Number	:	650-502-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2260 GELLERT BLVD
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5419
Country	:	US
Telephone Number	:	650-502-3388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	03/28/2025

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