Individual
ROGER RONGQING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
950 STOCKTON ST, SUITE 399, SAN FRANCISCO, CA 94108-1633
(415) 677-0901
(415) 677-0885
Mailing address
101 MERCED AVE, SAN FRANCISCO, CA 94127-1027
(415) 242-4611
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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