Individual
LILY YIJU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 794-6219
Mailing address
PO BOX 24DD5 WESTWOOD STATION, LOS ANGELES, CA 90024
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A83685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A836850
MEDICAL
CA
Enumeration date
06/14/2006
Last updated
07/08/2007
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