Individual
DR. CLIFFORD T WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TORRANCE BLVD - EM DEPT, TORRANCE, CA 90503-4607
(310) 540-7676
(405) 751-3183
Mailing address
4401 W MEMORIAL ROAD, SUITE 121, OKLAHOMA CITY, OK 73134-1722
(800) 749-4560
(405) 751-3183
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A99611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A996110
—
CA
05
—
1164614970
—
CA
Enumeration date
08/15/2007
Last updated
09/19/2012
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