Individual
JUSTIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2929 FLOYD AVE, APT #345, MODESTO, CA 95355-8750
(650) 823-1437
Mailing address
2929 FLOYD AVE, APT #345, MODESTO, CA 95355-8750
(650) 823-1437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A124857
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2010
Last updated
06/27/2013
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