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Individual

ANITA H WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2601 E CHAPMAN AVE, ORANGE, CA 92869-3206
(714) 633-0011
Mailing address
PO BOX 2035, ORANGE, CA 92859-0035
(562) 809-3569

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C41961
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C419610
CA
Enumeration date
06/07/2006
Last updated
07/08/2007
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