Individual
DOROTHY ZHIJUAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13350 CAMINO DEL SUR, SUITE 8, SAN DIEGO, CA 92129-4473
(858) 324-0089
(858) 324-0090
Mailing address
13350 CAMINO DEL SUR, SUITE 8, SAN DIEGO, CA 92129-4473
(858) 324-0089
(858) 324-0090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13420
CA
152W00000X
Optometrist
4573
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WOP13420A
MEDICARE PROVIDER NUMBER
CA
Enumeration date
01/09/2007
Last updated
09/08/2014
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