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Organization
WELLCARE MEDICAL CORP.
Active
Organization
WELLCARE MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NATHAN HANG (DOCTOR)
(626) 288-8692
Entity
Organization
Contact information
Practice address
9310 VALLEY BLVD STE A, ROSEMEAD, CA 91770-1924
(626) 288-8692
Mailing address
9310 VALLEY BLVD STE A, ROSEMEAD, CA 91770-1924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A31451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A314512
—
CA
Enumeration date
07/29/2008
Last updated
07/29/2008
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