Individual
NAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 SAN BERNARDINO RD, STE 102, UPLAND, CA 91786-4912
(909) 579-6721
(909) 579-6737
Mailing address
901 SAN BERNARDINO RD, STE 102, UPLAND, CA 91786-4912
(909) 579-6721
(909) 579-6737
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G55739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G557390
—
CA
Enumeration date
07/06/2006
Last updated
03/21/2017
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