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Individual

FREDERICK WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2630
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2630

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036150589
IL
208200000X
Plastic Surgery Physician
Primary
A119258
CA

Other

Enumeration date
03/23/2010
Last updated
03/16/2023
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