| Ryan Wang Md A Professional Corporation | |
|
11878 Avenue Of Industry San Diego CA 92128-3423 | |
| (858) 925-7346 | |
| (619) 567-1011 |
| Full Name | Ryan Wang Md A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11878 Avenue Of Industry, San Diego, California |
| Authorized Official Name and Position | Ryan Y Wang (PSYCHIATRIST) |
| Authorized Official Contact | 8589257346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Wang Md A Professional Corporation Po Box 1770 La Mesa CA 91944-1770 Ph: (858) 925-7346 | Ryan Wang Md A Professional Corporation 11878 Avenue Of Industry San Diego CA 92128-3423 Ph: (858) 925-7346 |
| NPI Number | 1013578939 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 6305175993 |
|---|---|
| Medicare Enrollment ID | O20190906002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013578939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ryan Y Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770960668 PECOS PAC ID: 3173880762 Enrollment ID: I20190906002197 |
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