Holly Wang Md Inc

NPI 1043515877 - Pediatrics - 208000000X

NPI Details
NPI 1043515877
Enumeration Date 01/26/2011
Last Updated 01/26/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name EZEKIEL EZEKIEL
Position PRACTICE MANAGER
Phone (626) 696-1234
Fax (626) 696-1230
Practice Location
50 ALESSANDRO PL
SUITE 200
PASADENA CA, 91105-3149, US
Phone (626) 696-1234
Fax (626) 696-1230
Business Location
PO BOX 50127
PASADENA CA, 91115-0127, US
Phone (626) 696-1234
Fax (626) 696-1230
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A69635
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According to our database, Holly Wang Md Inc NPI is 1043515877, taxonomy code is 208000000X and license number is A69635, license state is located at California. Holly Wang Md Inc physically located at 50 Alessandro Pl, Pasadena CA, 91105-3149. NPI Number 1033115704 has the healthcare provider type.

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1043515877 NPI number is provided on an as is basis without warranty of any kind. 1043515877 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Wang Md Inc are for informational purposes only.