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General NPI Number Information
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NPI Number | 1023078235
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Entity Type | Organization
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Legal Business Name | CIRCLEMED HEALTHCARE, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 11160 WARNER AVE STE 405
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4056
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Country | US
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Telephone | 714-263-0923
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Fax | 714-263-0924
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Provider Business Mailing Address
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Address Line | 11160 WARNER AVE STE 405
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4056
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Country | US
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Telephone | 714-263-0923
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Fax | 714-263-0924
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN WEIJUNE WANG
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Credential | M.D.
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Telephone | 714-263-0923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A73379
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License Number State | CA
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