Wang, Ida
Wang, Ida is an sole proprietor health care provider with primary practice located at 20 E Huntington Dr , Arcadia CA 91006-3209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wang, Ida can be contacted via phone (626) 447-8000.Contact Information
Primary practice address
20 E Huntington Dr
Arcadia CA 91006-3209
Phone: (626) 447-8000
Fax: (626) 447-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A50735 | California |
Profile Details
| NPI number | 1164429585 |
|---|---|
| LBN Legal business name | Wang, Ida |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 21st, 2013 - about 12 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 | 1164429585 | NPPES |
| California | MEDICAID | 00A507350 |
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