Yen Tun Wang, M.D.
Dermatology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013206945
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1013206945
- Entity type
- Individual (NPI-1)
- Name
- Yen Tun Wang
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2011
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | A123156 | CA | Yes |
| 207ND0900X | Dermatology, Dermatopathology | A123156 | CA |
Other names
- James Yen Tun Wang (Former Name)
Practice location
888 S Figueroa St Ste 1050Los Angeles, CA 90017-5310
Phone 213-319-3339 · Fax 213-408-4414
Mailing address
888 S Figueroa St Ste 1050Los Angeles, CA 90017-5310
Phone 213-319-3339 · Fax 213-408-4414
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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