Individual
DR. XIU-JIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 105, RIVERSIDE, CA 92505-3081
(951) 278-8870
(951) 278-8913
Mailing address
PO BOX 2828, CORONA, CA 92878-2828
(951) 278-8870
(951) 278-8913
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C133870
CA
2086S0129X
Vascular Surgery Physician
MD432218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02910089
—
NY
05
—
1019992240001
—
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039818
PA MEDICARE GROUP
PA
01
—
P00424200
RR MEDICARE PIN
PA
Enumeration date
07/10/2007
Last updated
07/22/2016
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