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NPI Code Detail

MEDICARE: MS. WAN CHING LAW N.P.

MEDICARE: MS. WAN CHING LAW N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP19135CA

General Provider Information

NPI Number : 1033486022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WAN CHING LAW N.P.
Provider Business Mailing Address
First Line : 923 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-2743
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 923 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-2743
Country : US
Telephone Number : 626-286-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2011
Last Update Date : 11/06/2014

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