Individual
DR. CHOK PING WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2153 PACIFIC AVENUE, LONG BEACH, CA 90806
(562) 599-4833
(563) 599-6366
Mailing address
P.O BOX 6096, LONG BEACH, CA 90806
(562) 599-4833
(562) 599-6366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A67228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A672281
—
CA
Enumeration date
09/15/2006
Last updated
07/08/2007
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