Healthcare Provider Details

I. General information

NPI: 1003748971
Provider Name (Legal Business Name): DANIELLE WANG PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9939 GARVEY AVE STE A
EL MONTE CA
91733-4712
US

IV. Provider business mailing address

9939 GARVEY AVE STE A
EL MONTE CA
91733-4712
US

V. Phone/Fax

Practice location:
  • Phone: 626-442-0800
  • Fax:
Mailing address:
  • Phone: 626-442-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310139
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: