Organization
WANG INTEGRATIVE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTEN WANG D.O. (PRESIDENT)
(916) 239-8682
Entity
Organization
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 450-0158
Mailing address
12664 CHAPMAN AVE, UNIT 1414, GARDEN GROVE, CA 92840-4000
(916) 239-8682
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A7684
CA
Other
Enumeration date
03/09/2016
Last updated
04/08/2016
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