| James Nien Chin Wang, D.O., Inc. | |
|
103 N Garfield Ave Suite B Alhambra CA 91801-3555 | |
| (626) 284-7788 | |
| (626) 284-6255 |
| Full Name | James Nien Chin Wang, D.O., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 103 N Garfield Ave, Alhambra, California |
| Authorized Official Name and Position | James N Wang (PRESIDENT) |
| Authorized Official Contact | 6262847788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Nien Chin Wang, D.O., Inc. 103 N Garfield Ave Suite B Alhambra CA 91801-3555 Ph: (626) 284-7788 | James Nien Chin Wang, D.O., Inc. 103 N Garfield Ave Suite B Alhambra CA 91801-3555 Ph: (626) 284-7788 |
| NPI Number | 1982800249 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 2062506199 |
|---|---|
| Medicare Enrollment ID | O20070920000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982800249 | NPI | - | NPPES |
| 1134163637 | Other | CA | DR. WANG'S NPI |
| 1821030305 | Other | CA | DR. CHIENG'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8055 (California) | Primary |
| 207R00000X | Internal Medicine | G66648 (California) | Secondary |
| Provider Name | James Nien-chin Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134163637 PECOS PAC ID: 2466344361 Enrollment ID: I20040325001790 |
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