Individual
DR. ALICE WENTSUO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8599 HAVEN AVE, SUITE 300, RANCHO CUCAMONGA, CA 91730-4849
(909) 620-8180
(909) 919-7288
Mailing address
8599 HAVEN AVE, SUITE 300, RANCHO CUCAMONGA, CA 91730-4849
(909) 620-8180
(909) 919-7288
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A 106683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1066830
—
CA
Enumeration date
04/22/2007
Last updated
11/29/2021
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