Individual
DR. ROBERT T WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD MD
Contact information
Practice address
5901 W OLYMPIC BLVD, #301, LOS ANGELES, CA 90036-4664
(323) 931-3100
(323) 931-0030
Mailing address
5901 W OLYMPIC BLVD, #301, LOS ANGELES, CA 90036-4664
(323) 931-3100
(323) 931-0030
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G40989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38000043
RAILROAD MCR
CA
05
—
9745630
—
CA
01
—
GR0079630
MEDICAL GRP NUMBER
CA
Enumeration date
12/20/2006
Last updated
07/08/2007
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