Organization
JAMES T WANG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T WANG MD (OWNER)
(949) 888-9288
Entity
Organization
Contact information
Practice address
29833 SANTA MARGARITA PKWY, SUITE 100, RANCHO SANTA MARGARITA, CA 92688-3619
(949) 888-9288
(949) 888-8918
Mailing address
29833 SANTA MARGARITA PKWY, SUITE 100, RANCHO SANTA MARGARITA, CA 92688-3619
(949) 888-9288
(949) 888-8918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G79462
CA
291U00000X
Clinical Medical Laboratory
05D1021032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2548617
CALIFORNIA CORPORATION NUMBER
CA
Enumeration date
06/07/2007
Last updated
03/22/2021
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