Individual
TITFANY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 N PRAIRIE AVE STE C, INGLEWOOD, CA 90301-4878
(800) 871-8890
Mailing address
5399 PLAYA VISTA DR APT E410, PLAYA VISTA, CA 90094-2494
(800) 871-8890
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
918837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8837362939376
—
CA
Enumeration date
03/23/2019
Last updated
03/23/2019
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