Individual
ROGER RONGQING WANG
Active
Individual
ROGER RONGQING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10816
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
20A10816
CA
207RR0500X
Rheumatology Physician
20A10816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355266
MEDICAID
CA
Enumeration date
09/22/2006
Last updated
12/09/2014
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