Healthcare Provider Details

I. General information

NPI: 1861471310
Provider Name (Legal Business Name): JOHN WHANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 OWENS ST
SAN FRANCISCO CA
94158-2388
US

IV. Provider business mailing address

1800 OWENS ST
SAN FRANCISCO CA
94158-2388
US

V. Phone/Fax

Practice location:
  • Phone: 973-334-2880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMA070630
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: