Wang, Marilene Beth
Wang, Marilene Beth is an individual health care provider with primary practice located at 200 Medical Plaza #550, Los Angeles CA 90095. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Wang, Marilene Beth can be contacted via phone (310) 206-6688.Contact Information
Primary practice address
200 Medical Plaza #550
Los Angeles CA 90095
Phone: (310) 206-6688
Fax: (310) 206-4105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sleep Medicine | 207YS0012X | G60942 | California |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G60942 | California |
Profile Details
NPI number | 1922111863 |
---|---|
LBN Legal business name | Wang, Marilene Beth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Apr 10th, 2012 - about 13 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 | 1922111863 | NPPES |
California | MEDICAID | 00G609420 |
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