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Organization
MICHELLE Z WANG MD PC
Active
Organization
MICHELLE Z WANG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE Z WANG M.D. (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
4640 ADMIRALTY WAY, MARINA DEL REY, CA 90292-6621
(310) 305-1020
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(310) 792-3802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A104742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104742
STATE LICENSE
CA
Enumeration date
01/12/2011
Last updated
01/12/2011
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