Jeffrey J Wang Md Medical Corporation | |
1644 S Court St Visalia CA 93277-4962 | |
(559) 739-0739 | |
(559) 739-0825 |
Full Name | Jeffrey J Wang Md Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 1644 S Court St, Visalia, California |
Authorized Official Name and Position | Jeffrey J Wang (OWNER) |
Authorized Official Contact | 5597390739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeffrey J Wang Md Medical Corporation 1644 S Court St Visalia CA 93277-4962 Ph: (559) 739-0739 | Jeffrey J Wang Md Medical Corporation 1644 S Court St Visalia CA 93277-4962 Ph: (559) 739-0739 |
NPI Number | 1326103862 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326103862 | NPI | - | NPPES |
00A541081 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A54108 (California) | Primary |
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