Healthcare Provider Details

I. General information

NPI: 1871453647
Provider Name (Legal Business Name): WILLIAM YUHSIANG WANG NURSE PRACTITIONER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BALDWIN AVE
ARCADIA CA
91007-7922
US

IV. Provider business mailing address

1191 HUNTINGTON DR # 117
DUARTE CA
91010-2400
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-1284
  • Fax:
Mailing address:
  • Phone: 626-454-9334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: