# SYNERGY CARDIOTHORACIC SURGERY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063721330
- **Authorized official:** DR. NAN WANG MD (PRESIDENT)
- **Authorized official phone:** (909) 579-6721

## Contact information

- **Practice address:** 901 SAN BERNARDINO RD, SUITE102, UPLAND, CA 91786-4912
- **Practice address phone:** (909) 579-6721
- **Practice address fax:** (909) 579-6737
- **Mailing address:** 901 SAN BERNARDINO RD, SUITE102, UPLAND, CA 91786-4912
- **Mailing address phone:** (909) 579-6721
- **Mailing address fax:** (909) 579-6737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G55739 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 03/20/2017