Individual
DANIEL Y. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 SUNNYSLOPE RD, HOLLISTER, CA 95023-5784
(626) 203-6827
Mailing address
920 SUNNYSLOPE RD, HOLLISTER, CA 95023-5784
(626) 203-6827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A96792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A967920
—
CA
Enumeration date
10/05/2006
Last updated
11/29/2010
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