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Individual

DR. BENJAMIN Y WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8750 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211-2708
(310) 689-3100
Mailing address
PO BOX 2030, LOWELL, AR 72745-2030
(855) 381-9178
(913) 234-1116

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A60595
CA
2085R0202X
Diagnostic Radiology Physician
K4604
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044009102
TX
05
16427726
NM
01
P00995222
RR MEDICARE
TX
Enumeration date
08/19/2005
Last updated
12/10/2025
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