MEDICARE: DR. SHIN-CHERN 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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	A116864	CA
2	208600000X	Surgery Physician	A116864	CA

General Provider Information

NPI Number	:	1700019569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIN-CHERN WANG MD

Provider Business Mailing Address
First Line	:	4234 RIVERWALK PKWY STE 120
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-3304
Country	:	US
Telephone Number	:	909-418-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4234 RIVERWALK PKWY STE 120
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-3304
Country	:	US
Telephone Number	:	909-418-2700
Fax Number	:

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

Provider Enumeration Date	:	08/27/2009
Last Update Date	:	06/10/2025

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