Individual
DR. SHIRONG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
A54082
CA
207ZC0006X
Clinical Pathology Physician
Primary
A54082
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A54082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A540820
—
CA
Enumeration date
10/04/2006
Last updated
11/18/2020
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