Theodore Thompson Wang, is a
Student In An Organized Health Care Education/training Program physician based in Los Angeles, California. Theodore Thompson Wang is licensed to practice in * (Not Available) (license number ) and his current practice location is 4733 W Sunset Blvd Fl 3, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(833) 574-2273.
NPI number for Theodore Thompson Wang is 1578199501 and his current mailing address is 4733 W Sunset Blvd Fl 3, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578199501.
Physician's Profile
| Full Name | Theodore Thompson Wang |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4733 W Sunset Blvd Fl 3, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578199501
- Provider Enumeration Date: 03/21/2020
- Last Update Date: 09/09/2025
Medical Identifiers
Medical identifiers for Theodore Thompson Wang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578199501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | A181864 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Thompson Wang is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Theodore Thompson Wang, 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 Ph: () - | Theodore Thompson Wang, 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 Ph: (833) 574-2273 |
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