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Individual

DR. ENDI WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-1019
(323) 865-3000
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
2007-01792
NC
207ZH0000X
Hematology (Pathology) Physician
Primary
A69339
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007-01792
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A69339
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A693390
CA
05
5908089
NC
Enumeration date
06/12/2006
Last updated
05/18/2023
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