Daniel Y Wang Md Corp | |
920 Sunnyslope Rd Hollister CA 95023-5784 | |
(831) 636-1332 | |
(831) 636-1342 |
Full Name | Daniel Y Wang Md Corp |
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Speciality | Clinic/Center |
Location | 920 Sunnyslope Rd, Hollister, California |
Authorized Official Name and Position | Daniel Yu Wang (PRESIDENT) |
Authorized Official Contact | 8316361332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel Y Wang Md Corp 920 Sunnyslope Rd Hollister CA 95023-5784 Ph: (831) 636-1332 | Daniel Y Wang Md Corp 920 Sunnyslope Rd Hollister CA 95023-5784 Ph: (831) 636-1332 |
NPI Number | 1194905323 |
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Provider Enumeration Date | 11/05/2007 |
Last Update Date | 11/29/2010 |
Medicare PECOS PAC ID | 5890884191 |
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Medicare Enrollment ID | O20071210000515 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194905323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A96792 (California) | Primary |
Provider Name | Daniel Y Wang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346336195 PECOS PAC ID: 3274635305 Enrollment ID: I20070220000842 |
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