MEDICARE: GLOBAL PHYSICIANS RESOURCES INC

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	207RP1001X	Pulmonary Disease Physician	A76144	CA

General Provider Information

NPI Number	:	1972044469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL PHYSICIANS RESOURCES INC

Provider Business Mailing Address
First Line	:	711 W COLLEGE ST STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1093
Country	:	US
Telephone Number	:	626-679-5125
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 W COLLEGE ST STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1093
Country	:	US
Telephone Number	:	626-679-5125
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHUO STEVEN WANG
Credential	:	M.D.
Telephone Number	:	626-679-5125

Provider Enumeration Date	:	03/16/2017
Last Update Date	:	03/16/2017

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