Individual
SHIRLEY LEE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, STE 545, LOS ANGELES, CA 90033-2464
(949) 689-0188
Mailing address
53 FULTON, IRVINE, CA 92620-3349
(949) 689-0188
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MT205109
PA
208D00000X
General Practice Physician
Primary
A142943
CA
Other
Enumeration date
07/16/2013
Last updated
05/17/2021
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