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NPI Code Detail

MEDICARE: MS. CRYSTAL SHIH-YUH WANG B.S., MS-DPT

MEDICARE: MS. CRYSTAL SHIH-YUH WANG B.S., MS-DPT
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
1225100000XPhysical TherapistPT37889CA

General Provider Information

NPI Number : 1659659514
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CRYSTAL SHIH-YUH WANG B.S., MS-DPT
Provider Business Mailing Address
First Line : 435 N BEDFORD DR STE 102
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4319
Country : US
Telephone Number : 310-385-9064
Fax Number : 310-385-9264
Provider Business Practice Location Address
First Line : 435 N BEDFORD DR STE 102
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4319
Country : US
Telephone Number : 310-385-9064
Fax Number : 310-385-9264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2011
Last Update Date : 10/25/2024

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