Individual
LAWRENCE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18141 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92648-1354
(714) 841-7800
(714) 784-7671
Mailing address
18141 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92648-1354
(714) 841-7800
(714) 784-7671
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G062881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G628810
—
CA
Enumeration date
07/17/2006
Last updated
08/05/2011
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