| NPI Details | |
|---|---|
| NPI | 1164429585 |
| Gender | Female |
| Enumeration Date | 06/30/2005 |
| Last Updated | 08/21/2013 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 20 E HUNTINGTON DR ARCADIA CA, 91006-3209, US |
|
| Phone | (626) 447-8000 |
| Fax | (626) 447-8002 |
| Business Location | |
|---|---|
| 20 E HUNTINGTON DR ARCADIA CA, 91006-3209, US |
|
| Phone | (626) 447-8000 |
| Fax | (626) 447-8002 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207R00000X |
| License State | California |
| License Number | A50735 |
| Remove 1164429585 NPI Number | |
According to our database, Ida Wang M.D. NPI is 1164429585, taxonomy code is 207R00000X and license number is A50735, license state is located at California. Ida Wang M.D. physically located at 20 E Huntington Dr, Arcadia CA, 91006-3209. NPI Number Ida Wang M.D. has the Individual type.
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1164429585 NPI number is provided on an as is basis without warranty of any kind. 1164429585 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Wang M.D. are for informational purposes only.
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