Individual
DR. ANDREW WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
909 HYDE ST STE 125, SAN FRANCISCO, CA 94109-4832
(418) 771-4366
(415) 771-6412
Mailing address
909 HYDE ST STE 125, SAN FRANCISCO, CA 94109-4832
(418) 771-4366
(415) 771-6412
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
A667920
CA
207R00000X
Internal Medicine Physician
Primary
A667920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0593636
CLIA
CA
05
—
GR0076920
—
CA
01
—
LAB93636F
MEDICAL CLIA
CA
Enumeration date
08/01/2006
Last updated
01/14/2008
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