MEDICARE: HSUAN WANG CHIROPRACTIC INC.

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
1	111N00000X	Chiropractor	31091	CA

General Provider Information

NPI Number	:	1245568237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HSUAN WANG CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	1737 W ROMNEYA DR
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1804
Country	:	US
Telephone Number	:	714-738-5080
Fax Number	:	714-833-5484

Provider Business Practice Location Address
First Line	:	1737 W ROMNEYA DR
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1804
Country	:	US
Telephone Number	:	714-738-5080
Fax Number	:	714-833-5484

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. HSUAN WANG
Credential	:	D.C.
Telephone Number	:	714-738-5080

Provider Enumeration Date	:	12/02/2009
Last Update Date	:	05/06/2016

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