Individual
DR. ON WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 CESAR E CHAVEZ AVE, STE 300, LOS ANGELES, CA 90033-2464
(818) 504-7265
(818) 504-1623
Mailing address
1701 CESAR E CHAVEZ AVE, STE 300, LOS ANGELES, CA 90033-2464
(818) 504-7265
(818) 504-1623
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G70368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G703680
—
CA
Enumeration date
07/28/2006
Last updated
12/08/2010
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