Individual
MATHEW YEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 N VERMONT AVE, 7TH FLOOR, LOS ANGELES, CA 90027-5337
(323) 783-8824
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5631
(310) 301-8708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A64190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A64190
—
CA
Enumeration date
08/10/2006
Last updated
12/01/2021
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