Individual
JONATHAN C WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-7636
Mailing address
1335 LA PALMA ST UNIT G4, SAN DIEGO, CA 92109-5267
(415) 279-6685
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A111287
CA
Other
Enumeration date
11/22/2006
Last updated
02/11/2022
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