| Wendy Wang M D Inc | |
|
223 N Garfield Ave Ste 200 Monterey Park CA 91754-1700 | |
| (626) 893-3087 | |
| Not Available |
| Full Name | Wendy Wang M D Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 N Garfield Ave Ste 200, Monterey Park, California |
| Authorized Official Name and Position | Chengwei Wang (CEO) |
| Authorized Official Contact | 6268933087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Wang M D Inc 604 Estrella Ave Arcadia CA 91007-8116 Ph: (626) 893-3087 | Wendy Wang M D Inc 223 N Garfield Ave Ste 200 Monterey Park CA 91754-1700 Ph: (626) 893-3087 |
| NPI Number | 1588380075 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 6103297924 |
|---|---|
| Medicare Enrollment ID | O20230113001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588380075 | NPI | - | NPPES |
| 1780971465 | Other | CA | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (NU) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Chengwei Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780971465 PECOS PAC ID: 9234458142 Enrollment ID: I20150427001890 |
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