| Kevin Wang M.d. Inc. | |
|
2220 Northpoint Pkwy Santa Rosa CA 95407-7398 | |
| (707) 526-3180 | |
| (707) 755-8968 |
| Full Name | Kevin Wang M.d. Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2220 Northpoint Pkwy, Santa Rosa, California |
| Authorized Official Name and Position | Melissa Hirschfelder (LICENSING ANALYST) |
| Authorized Official Contact | 2063957870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Wang M.d. Inc. 1201 2nd Ave Ste 1400 Seattle WA 98101-3020 Ph: (206) 395-7870 | Kevin Wang M.d. Inc. 2220 Northpoint Pkwy Santa Rosa CA 95407-7398 Ph: (707) 526-3180 |
| NPI Number | 1720571607 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720571607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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