# JANE WANG

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JANE WANG
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164981817
- **Legal business name:** JANE WANG
- **Authorized official:** JANE WANG (MD/OWNER)
- **Authorized official phone:** (916) 671-9884

## Contact information

- **Practice address:** 123 S COMMERCE ST STE E, STOCKTON, CA 95202-2837
- **Practice address phone:** (209) 901-9123
- **Practice address fax:** (855) 827-6007
- **Mailing address:** 3663 PARK RD, SACRAMENTO, CA 95841-4423
- **Mailing address phone:** (916) 671-9884
- **Mailing address fax:** (855) 827-6007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 03/12/2019