Individual
JIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1317 W FOOTHILL BLVD, STE 148, UPLAND, CA 91786-3676
(909) 981-5882
(909) 946-0833
Mailing address
PO BOX 1869, UPLAND, CA 91785-1869
(909) 981-5882
(909) 373-2828
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A49349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A493490
—
CA
Enumeration date
07/07/2006
Last updated
08/02/2016
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