MEDICARE: DR. ANDREW MING-YU WANG M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	A43341	CA
2	207R00000X	Internal Medicine Physician	A43341	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

General Provider Information

NPI Number	:	1558467787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW MING-YU WANG M.D.

Provider Business Mailing Address
First Line	:	5651 COPLEY DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-7903
Country	:	US
Telephone Number	:	858-499-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3555 KENYON ST
Second Line	:	SUITE 201
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-5341
Country	:	US
Telephone Number	:	858-499-2704
Fax Number	:	619-727-4266

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	12/18/2019

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Directions to “ DR. ANDREW MING-YU WANG M.D.” Practice Location

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