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NPI Code Detail

MEDICARE: CHIA YING WANG MD

MEDICARE: CHIA YING WANG MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianJ9564TX
2207R00000XInternal Medicine PhysicianC52277CA

General Provider Information

NPI Number : 1275593170
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIA YING WANG MD
Provider Business Mailing Address
First Line : 411 N LAKEVIEW AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-3028
Country : US
Telephone Number : 888-988-2800
Fax Number :
Provider Business Practice Location Address
First Line : 3401 S HARBOR BLVD
Second Line : FAMILY MEDICINE
City : SANTA ANA
State : CA
Zip : 92704-7933
Country : US
Telephone Number : 888-988-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 08/24/2007

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