Individual
LEI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
(530) 661-5684
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A144428
CA
207RR0500X
Rheumatology Physician
Primary
A144428
CA
Other
Enumeration date
03/28/2014
Last updated
07/23/2020
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