Individual
DR. JEREMY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
(714) 960-7995
Mailing address
15701 TUSTIN VILLAGE WAY APT E10, TUSTIN, CA 92780-4908
(562) 565-5374
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
299087
CA
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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