Individual
MR. TAISHINE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2713 SANTA ANA STREET, SOUTH GATE, CA 90280-2021
(323) 587-7275
(323) 587-9162
Mailing address
2713 SANTA ANA STREET, SOUTH GATE, CA 90280-2021
(323) 587-7275
(323) 587-9162
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A42340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A423400
—
CA
Enumeration date
03/06/2007
Last updated
07/08/2007
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