Individual
YAWEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1705 28TH ST, BAKERSFIELD, CA 93301-1902
(661) 322-3008
(661) 322-5507
Mailing address
1705 28TH ST, BAKERSFIELD, CA 93301-1902
(661) 322-3008
(661) 322-5507
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2016-00819
NC
2084N0400X
Neurology Physician
56767
MN
2084N0400X
Neurology Physician
Primary
A150344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275821720
—
NC
01
—
19JC6
BCBS OF NC
NC
Enumeration date
07/19/2011
Last updated
10/09/2019
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