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Individual

DR. OSCAR WAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
65 VALENCIA CT, PORTOLA VALLEY, CA 94028-7923
(650) 851-1858
Mailing address
65 VALENCIA CT, PORTOLA VALLEY, CA 94028-7923
(650) 851-1858

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G12319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G12919
MEDICAL LICENSE
CA
Enumeration date
12/05/2006
Last updated
07/08/2007
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