| John Z Wang Md Inc | |
|
1535 W Merced Ave Ste 206 West Covina CA 91790-3404 | |
| (626) 338-0811 | |
| (626) 338-0922 |
| Full Name | John Z Wang Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1535 W Merced Ave, West Covina, California |
| Authorized Official Name and Position | John Zheng Wang (PRESIDENT) |
| Authorized Official Contact | 6263380811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Z Wang Md Inc 1535 W Merced Ave Ste 206 West Covina CA 91790-3404 Ph: (626) 338-0811 | John Z Wang Md Inc 1535 W Merced Ave Ste 206 West Covina CA 91790-3404 Ph: (626) 338-0811 |
| NPI Number | 1861457327 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032146279 |
|---|---|
| Medicare Enrollment ID | O20050720000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861457327 | NPI | - | NPPES |
| GR0093970 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A67229 (California) | Primary |
| Provider Name | John Z Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285747931 PECOS PAC ID: 4385671528 Enrollment ID: I20050726001260 |
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