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Individual

DR. MATTHEW WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
22 ODYSSEY, SUITE 150, IRVINE, CA 92618
(949) 733-3390
(949) 461-1461
Mailing address
22 ODYSSEY, SUITE 150, IRVINE, CA 92618
(949) 733-3390
(949) 461-1461

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT12376T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD012376
CA
Enumeration date
07/27/2005
Last updated
09/17/2010
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