Individual
ALLISON WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028453
CA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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