Individual
KASPER SAONUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(323) 361-2338
(323) 361-3534
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
A54991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A549910
—
CA
Enumeration date
09/29/2006
Last updated
08/12/2020
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