Healthcare Provider Details

I. General information

NPI: 1881604536
Provider Name (Legal Business Name): JAMES YUN-YAO WANG ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 VAN NESS AVE APT 501
SAN FRANCISCO CA
94102-6043
US

IV. Provider business mailing address

77 VAN NESS AVE STE 101
SAN FRANCISCO CA
94102-6042
US

V. Phone/Fax

Practice location:
  • Phone: 415-488-6749
  • Fax: 855-556-8391
Mailing address:
  • Phone: 415-488-6749
  • Fax: 855-556-8391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC30026
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: