Healthcare Provider Details

I. General information

NPI: 1710897921
Provider Name (Legal Business Name): DENNIS WANG MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N HILL AVE STE 200
PASADENA CA
91106-1934
US

IV. Provider business mailing address

404 SW 185TH ST
NORMANDY PARK WA
98166-3906
US

V. Phone/Fax

Practice location:
  • Phone: 253-777-2237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DENNIS OLIVER WANG
Title or Position: OWNER
Credential: MD
Phone: 253-777-2237