MEDICARE: MS. MAY M WANG MD

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	207Q00000X	Family Medicine Physician	A48552	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	48552F3	OTHER	CA	EHS HF
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	16510	OTHER	CA	CARE1ST
4	A048552	OTHER	CA	HEALTHNET
5	A48552H	OTHER	CA	LACARE HF

General Provider Information

NPI Number	:	1538108139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAY M WANG MD

Provider Business Mailing Address
First Line	:	11803 CARSON ST
Second Line	:
City	:	HAWAIIAN GARDENS
State	:	CA
Zip	:	90716-1127
Country	:	US
Telephone Number	:	562-924-4455
Fax Number	:	562-924-1240

Provider Business Practice Location Address
First Line	:	11803 CARSON ST
Second Line	:
City	:	HAWAIIAN GARDENS
State	:	CA
Zip	:	90716
Country	:	US
Telephone Number	:	562-924-4455
Fax Number	:	562-924-1240

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	10/29/2008

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