Susan Wang
Family Medicine in Orange, CA. Individual provider (NPI-1).
NPI number1659957751
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1659957751
- Entity type
- Individual (NPI-1)
- Name
- Susan Wang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2021
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A184180 | CA | Yes |
Practice location
101 The City Dr SOrange, CA 92868-3201
Phone 714-456-7890
Mailing address
800 N Main StSanta Ana, CA 92701-3576
Other practice locations
800 N Main St
Santa Ana, CA 92701-3576
Santa Ana, CA 92701-3576
Phone 714-549-1300
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