Individual
ANDREW S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5000
Mailing address
PO BOX 481310, LOS ANGELES, CA 90048-9793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A134517
CA
2086S0102X
Surgical Critical Care Physician
A134517
CA
2086S0127X
Trauma Surgery Physician
Primary
A134517
CA
Other
Enumeration date
06/19/2013
Last updated
06/13/2024
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