Individual
JOHN C WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
370 DEL NORTE AVE, SUITE 201, YUBA CITY, CA 95991-4142
(530) 674-8031
(530) 751-4158
Mailing address
PO BOX 3067, YUBA CITY, CA 95992-3067
(530) 751-4784
(530) 751-4906
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L3866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10006843
AMERIGROUP
TX
05
—
1527616-01
—
TX
01
—
340020371
MEDICARE RAILROAD
TX
01
—
7430373
AETNA
TX
01
—
8G4510
BLUECROSS/BLUESHIELD
TX
Enumeration date
04/10/2006
Last updated
01/22/2016
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