Healthcare Provider Details

I. General information

NPI: 1730487893
Provider Name (Legal Business Name): WENDY WANG N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E DUARTE RD #A
ARCADIA CA
91006-3993
US

IV. Provider business mailing address

145 E DUARTE RD #A
ARCADIA CA
91006-3993
US

V. Phone/Fax

Practice location:
  • Phone: 626-215-3214
  • Fax: 626-445-0288
Mailing address:
  • Phone: 626-215-3214
  • Fax: 626-445-0288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: