| Shuo S. Wang M.d. Inc. | |
|
711 W College St Ste 205 Los Angeles CA 90012-1093 | |
| (213) 261-0889 | |
| (213) 628-1012 |
| Full Name | Shuo S. Wang M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 W College St Ste 205, Los Angeles, California |
| Authorized Official Name and Position | Angela Montoya (OFFICE MANAGER) |
| Authorized Official Contact | 2132610889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shuo S. Wang M.d. Inc. Po Box 10 Rosemead CA 91770-0010 Ph: (213) 261-0889 | Shuo S. Wang M.d. Inc. 711 W College St Ste 205 Los Angeles CA 90012-1093 Ph: (213) 261-0889 |
| NPI Number | 1497994420 |
|---|---|
| Provider Enumeration Date | 02/15/2009 |
| Last Update Date | 09/13/2013 |
| Medicare PECOS PAC ID | 8426106527 |
|---|---|
| Medicare Enrollment ID | O20090429000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497994420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A76144 (California) | Primary |
| Provider Name | Shuo Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538232137 PECOS PAC ID: 3375645435 Enrollment ID: I20070221000284 |
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