Individual
DR. JAW J WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E BEVERLY BLVD, SUITE 207, MONTEBELLO, CA 90640
(323) 726-1400
Mailing address
101 E BEVERLY BLVD, SUITE 207, MONTEBELLO, CA 90640
(323) 726-1400
(323) 726-2946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A26671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77724Z
—
CA
Enumeration date
10/18/2006
Last updated
07/08/2007
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