Individual
CHRISTINA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 S SEPULVEDA BLVD STE 104, LOS ANGELES, CA 90045-3606
(310) 645-6001
Mailing address
1738 PALM AVE, SAN GABRIEL, CA 91776-3838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59855
CA
Other
Enumeration date
06/01/2020
Last updated
06/02/2022
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