Individual
MICHAEL DONALD WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A70345
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A70345
CA
208M00000X
Hospitalist Physician
000000A70345
CA
208M00000X
Hospitalist Physician
Primary
A70345
CA
Other
Enumeration date
10/03/2006
Last updated
11/27/2023
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