Douglas Wang
Internal Medicine in Loma Linda, CA. Individual provider (NPI-1).
NPI number1013572015
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1013572015
- Entity type
- Individual (NPI-1)
- Name
- Douglas Wang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2019
- Certification date
- Jul 17, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A179449 | CA | Yes |
| 208000000X | Pediatrics | A179449 | CA |
Practice location
11234 Anderson StreetGme Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone 909-558-4174
Mailing address
11234 Anderson StreetGme Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone 909-558-4174
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All 219 Internal Medicine Physician providers in Loma Linda · All 5,377 providers in Loma Linda
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