Individual
JUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, STE 2960, LOMA LINDA, CA 92354-3450
(909) 558-5175
Mailing address
PO BOX 1740, LOMA LINDA, CA 92354-0240
(909) 558-5175
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
A56481
CA
207ZH0000X
Hematology (Pathology) Physician
Primary
A56481
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A56481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564810
—
CA
Enumeration date
07/25/2006
Last updated
12/12/2011
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