Individual
MRS. ALISA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24541 PACIFIC PARK DR, ALISO VIEJO, CA 92656-3065
(949) 831-3057
(949) 831-2515
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18266
CA
Other
Enumeration date
04/10/2007
Last updated
06/14/2022
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