Raymond Wang DDS Dental Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

63369 Issued in CA

Legal business name

RAYMOND WANG DDS DENTAL CORP

Practice address

10318 E. Rosecrans Ave
Bellflower, CA 90706-2702

Phone

(562) 925-3765

Fax

(562) 920-8500

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Samuel Wang

Title

Pedodontist

Phone

(562) 925-3765

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1043760978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 E. ROSECRANS AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062702",
            "telephone_number": "562-925-3765",
            "fax_number": "562-920-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 E. ROSECRANS AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062702",
            "telephone_number": "562-925-3765",
            "fax_number": "562-920-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND WANG DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PEDODONTIST",
        "authorized_official_telephone_number": "562-925-3765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "63369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Randolph Corea
• John Ravera, DDS
• Niraj Rawal, MD
• Gina Gutierrez Rawson, N.P.
• Ray'S Nursing Care, Inc.
• Renee Irene Razo
• Re-Brand Me LLC
• Rebecca S. Ahlers DDS Dental Corporation
• Sunilkumar Y. Reddy, MD
• Daniel Ree, MD

• Pediatric Dentistry in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.