| Yawen Wang, M.d., Inc. | |
|
1211 W La Palma Ave Ste 710 Anaheim CA 92801-2814 | |
| (657) 888-9199 | |
| (657) 888-9179 |
| Full Name | Yawen Wang, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1211 W La Palma Ave Ste 710, Anaheim, California |
| Authorized Official Name and Position | Yawen Wang (PRESIDENT) |
| Authorized Official Contact | 6173904298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yawen Wang, M.d., Inc. 1211 W La Palma Ave Ste 710 Anaheim CA 92801-2814 Ph: (657) 888-9199 | Yawen Wang, M.d., Inc. 1211 W La Palma Ave Ste 710 Anaheim CA 92801-2814 Ph: (657) 888-9199 |
| NPI Number | 1578202339 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Medicare PECOS PAC ID | 0244615649 |
|---|---|
| Medicare Enrollment ID | O20220921002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578202339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Yawen Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275821720 PECOS PAC ID: 6507003118 Enrollment ID: I20171017002355 |
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