Wang, Alice Wentsuo
Wang, Alice Wentsuo is an individual health care provider with primary practice located at 8599 Haven Ave Suite 300, Rancho Cucamonga CA 91730-4849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wang, Alice Wentsuo can be contacted via phone (909) 620-8180.Contact Information
Primary practice address
8599 Haven Ave Suite 300
Rancho Cucamonga CA 91730-4849
Phone: (909) 620-8180
Fax: (909) 919-7288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A 106683 | California |
Profile Details
| NPI number | 1598983181 |
|---|---|
| LBN Legal business name | Wang, Alice Wentsuo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Nov 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598983181 | NPPES |
| California | MEDICAID | 00A1066830 |
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