MEDICARE: NAHLA WANG AGPCNP

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	363L00000X	Nurse Practitioner	95039634	CA

General Provider Information

NPI Number	:	1265362743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHLA WANG AGPCNP

Provider Business Mailing Address
First Line	:	1521 AZURE WAY
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-4018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	864 S ROBERTSON BLVD # 100101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1605
Country	:	US
Telephone Number	:	810-224-7703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

Similar Medicare Providers

1750319398 — DR. JONATHAN HENRY GREENE PH.D.
Practice Location Address:

864 S ROBERTSON BLVD , SUITE 201
LOS ANGELES, CA
90035-1605

Practice Phone: 310-657-2029
Practice Fax: 310-289-8581

1386775468 — TALIA MAYS WAGNER L.M.F.T.
Practice Location Address:

864 S ROBERTSON BLVD , SUITE 302
LOS ANGELES, CA
90035-1605

Practice Phone: 310-425-5396
Practice Fax:

1255459418 — MRS. LINDA MARY MORSE L.AC. DIPL OF OM
Practice Location Address:

864 S ROBERTSON BLVD
LOS ANGELES, CA
90035-1605

Practice Phone: 310-656-2858
Practice Fax:

1336324391 — DR. KATE AINSLIE PSYD
Practice Location Address:

864 S ROBERTSON BLVD , SUITE 304
LOS ANGELES, CA
90035-1605

Practice Phone: 310-203-1316
Practice Fax: 310-861-1441

1730365545 — REBECCA KIMIKO ISHIDA MFT
Practice Location Address:

864 S ROBERTSON BLVD , SUITE 300
LOS ANGELES, CA
90035-1605

Practice Phone: 310-358-0270
Practice Fax: 310-358-0245

1992936231 — JACLYN TULLY M.A., LMFT
Practice Location Address:

864 S ROBERTSON BLVD , SUITE 202
LOS ANGELES, CA
90035-1605

Practice Phone: 812-589-9070
Practice Fax:

Directions to “ NAHLA WANG AGPCNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.