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Organization
MATTHEW WANG OD, INC
Active
Organization
MATTHEW WANG OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WANG OD (PRESIDENT)
(949) 733-3390
Entity
Organization
Contact information
Practice address
22 ODYSSEY, SUITE 150, IRVINE, CA 92618-3186
(949) 733-3390
(949) 461-1461
Mailing address
22 ODYSSEY, SUITE 150, IRVINE, CA 92618-3186
(949) 733-3390
(949) 461-1461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12376T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD012760
—
CA
Enumeration date
07/05/2006
Last updated
08/13/2010
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