Individual
CANTY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 20TH ST STE 270, SANTA MONICA, CA 90404-2053
(310) 828-8585
(310) 453-4844
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A145356
CA
Other
Enumeration date
05/15/2015
Last updated
07/02/2024
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