Healthcare Provider Details

I. General information

NPI: 1730710336
Provider Name (Legal Business Name): DOROTHY WANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2020
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CALIFORNIA DR RM 470B
BURLINGAME CA
94010-4145
US

IV. Provider business mailing address

225 CALIFORNIA DR RM 470B
BURLINGAME CA
94010-4145
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-8188
  • Fax: 415-502-8833
Mailing address:
  • Phone: 415-353-8188
  • Fax: 415-502-8833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number74895
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number74895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: