Organization
JAW J WANG MD INC.
Active
Other names
MONTEBELLO PEDIATRIC MEDICAL GPROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAW JIANG WANG MD (PRESIDENT)
(323) 726-1400
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD, SUITE 207, MONTEBELLO, CA 90640
(323) 726-1400
(323) 726-2446
Mailing address
101 E BEVERLY BLVD, SUITE 207, MONTEBELLO, CA 90640
(323) 726-1400
(323) 726-2446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A26671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77724Z
—
CA
Enumeration date
04/02/2007
Last updated
11/20/2014
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