MEDICARE: GEORGE JIA-CHI WANG P.A.

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	363AS0400X	Surgical Physician Assistant	PA04763	TX
2	363AM0700X	Medical Physician Assistant	53032	CA
3	363A00000X	Physician Assistant	53032	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447337118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE JIA-CHI WANG P.A.

Provider Business Mailing Address
First Line	:	2 GREENWAY PLZ STE 900
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-0205
Country	:	US
Telephone Number	:	713-798-1750
Fax Number	:	713-798-1144

Provider Business Practice Location Address
First Line	:	2011 WILSHIRE BLVD STE 300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3503
Country	:	US
Telephone Number	:	213-413-2700
Fax Number	:	213-413-6722

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/09/2026

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Directions to “ GEORGE JIA-CHI WANG P.A.” Practice Location

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