Chun Yeh Wang MD PHD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G72065 Issued in CA

Legal business name

CHUN YEH WANG MD PHD A PROFESSIONAL CORPORATION

Practice address

416 W Las Tunas Dr Ste 306
San Gabriel, CA 91776-1236

Phone

(626) 588-1555

Fax

(626) 457-5690

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chun-Yeh Wang, M.D., PH. D.,NPI 1770728016

Title

Physician

Phone

(626) 588-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chun Yeh Wang, MD.,PH.D.

  • Specialist
  • San Gabriel, CA
  • NPI 1770728016
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1023041423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR STE 306",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-588-1555",
            "fax_number": "626-457-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR STE 306",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-588-1555",
            "fax_number": "626-457-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUN YEH WANG MD PHD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHUN-YEH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-588-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH. D.,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G720650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheng Y. Chu, M.D.
• David Z Chu, M.D.
• Wei Chu, O.D
• Jennifer Chuang, L. AC
• Jesse Jen-Chieh Chuang, M.D., M.P.H.
• Yung Fang Irene Chung Chavez, PHD
• Frank Chung, D.C.
• Hannah Chung
• James Chung, O.D.
• Jenny Chen Chung, DDS

• Specialist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.