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NPI Code Detail

MEDICARE: ANGELA WANG MA

MEDICARE: ANGELA WANG MA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramHI

General Provider Information

NPI Number : 1689285561
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WANG MA
Provider Business Mailing Address
First Line : 88 KANOELEHUA AVE STE B107
Second Line :
City : HILO
State : HI
Zip : 96720-4685
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 88 KANOELEHUA AVE STE B107
Second Line :
City : HILO
State : HI
Zip : 96720-4685
Country : US
Telephone Number : 510-509-4824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 06/02/2026

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Directions to “ ANGELA WANG MA” Practice Location

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