Wang, Nan

Wang, Nan is an individual health care provider with primary practice located at 901 San Bernardino Rd Ste 102, Upland CA 91786-4912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wang, Nan can be contacted via phone (909) 579-6721.

Contact Information

Primary practice address
901 San Bernardino Rd Ste 102 Upland CA 91786-4912
Phone: (909) 579-6721
Fax: (909) 579-6737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G55739 California

Profile Details

NPI number 1023040839
LBN Legal business name Wang, Nan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 21st, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023040839 NPPES
California MEDICAID 00G557390

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