Organization
CHUNG NAN WANG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNG NAN WANG MD (PRESIDENT)
(805) 642-8565
Entity
Organization
Contact information
Practice address
3525 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3101
(805) 641-6434
Mailing address
6073 BRIDGEVIEW DR, VENTURA, CA 93003-1131
(805) 644-6600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A31187
CA
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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