Individual
JEFFREY S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3430 E LA PALMA AVE, MOB 2, ANAHEIM, CA 92806-2020
(714) 644-2739
Mailing address
3430 E LA PALMA AVE, MOB 2, ANAHEIM, CA 92806-2020
(714) 644-2739
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A129356
CA
390200000X
Student in an Organized Health Care Education/Training Program
0116022414
VA
Other
Enumeration date
06/04/2010
Last updated
12/03/2021
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