Frederick Wang, MD | |
5601 De Soto Ave, Woodland Hills, CA 91367-6701 | |
(818) 719-2630 | |
Not Available |
Full Name | Frederick Wang |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 5601 De Soto Ave, Woodland Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487978235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 036150589 (Illinois) | Secondary |
208200000X | Plastic Surgery | A119258 (California) | Primary |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
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Frederick Wang, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2630 | Frederick Wang, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2630 |
Sendia Kim, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-4505 | |
Dr. Patricia Arnold Buss, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21281 Burbank Blvd, Woodland Hills, CA 91367 Phone: 818-676-6299 | |
Dr. Neal Lewis Gorlick, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Department Of Plastic Surgery, Woodland Hills, CA 91367 Phone: 818-719-3431 Fax: 818-719-4245 |