Healthcare Provider Details

I. General information

NPI: 1407057540
Provider Name (Legal Business Name): ANGELA YUNGCHIEH WANG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 INTERNATIONAL BLVD
OAKLAND CA
94601-2228
US

IV. Provider business mailing address

2938 TOBIN DR
SAN JOSE CA
95132-1651
US

V. Phone/Fax

Practice location:
  • Phone: 510-434-5300
  • Fax:
Mailing address:
  • Phone: 650-579-4565
  • Fax: 650-579-4566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS50190
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: