Oliver Wang D.P.M.

NPI 1063516409 - Podiatrist - 213ES0103X

NPI Details
NPI 1063516409
Gender Male
Enumeration Date 09/07/2006
Last Updated 04/06/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
241 W OLIVE AVE
BURBANK CA, 91502-1825, US
Phone (818) 848-5583
Fax (818) 848-1872
Business Location
268 N MAR VISTA AVE APT 4
PASADENA CA, 91106-5314, US
Phone (818) 848-5583
Fax (818) 848-1872
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E4275
Remove 1063516409 NPI Number
 

According to our database, Dr. Oliver Wang D.P.M. NPI is 1063516409, taxonomy code is 213ES0103X and license number is E4275, license state is located at California. Oliver Wang D.P.M. physically located at 241 W Olive Ave, Burbank CA, 91502-1825. NPI Number Oliver Wang D.P.M. has the Individual type.

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1063516409 NPI number is provided on an as is basis without warranty of any kind. 1063516409 is maintained by the National Plan & Provider Enumeration System. The contents of Oliver Wang D.P.M. are for informational purposes only.