Individual
TINA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9985 SIERRA AVE, MOB 2, 1ST FLOOR, FONTANA, CA 92335-6720
(909) 427-4031
Mailing address
9985 SIERRA AVE, MOB 2, 1ST FLOOR, FONTANA, CA 92335-6720
(909) 427-4031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A122282
CA
Other
Enumeration date
04/15/2011
Last updated
08/07/2015
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