# WANG INTEGRATIVE REHABILITATION, INC.

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

## Provider details

- **NPI number:** 1396106936
- **Authorized official:** KENTEN WANG D.O. (PRESIDENT)
- **Authorized official phone:** (916) 239-8682

## Contact information

- **Practice address:** 255 E BONITA AVE, POMONA, CA 91767-1923
- **Practice address phone:** (909) 450-0158
- **Mailing address:** 12664 CHAPMAN AVE, UNIT 1414, GARDEN GROVE, CA 92840-4000
- **Mailing address phone:** (916) 239-8682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A7684 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2016
- **Last updated:** 04/08/2016