Individual
JONATHAN I WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 W DUARTE ROAD, G195, ARCADIA, CA 91004
(310) 923-5362
(360) 361-3400
Mailing address
10151 YORK ROAD, 120, COCKEYSVILLE, MD 21030
(888) 481-9185
(888) 481-9421
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A75879
CA
2084N0400X
Neurology Physician
Primary
A75879
CA
Other
Enumeration date
02/02/2007
Last updated
02/28/2008
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