Individual provider Active NPI

Allan Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1114028404
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A89518 Issued in CA
Practice address
545 S Alvarado St
Unit D
Los Angeles, CA 90057-2903
Phone
(213) 483-3987
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A89518 CA Primary

Addresses

Primary practice location

545 S Alvarado St
Unit D
Los Angeles, CA 90057-2903

Mailing address

100 S Alameda St
#418
Los Angeles, CA 90012-3927
Phone (310) 346-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89518CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny M Hwang Incorporated Internal Medicine Past Accepting new patients
Jenny M. Hwang Internal Medicine Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Nuestra Angel Medical Center Inc Internal Medicine Past Accepting new patients
Nuestra Rehabilitation Center , Inc. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114028404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ALAMEDA ST",
            "address_2": "#418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123927",
            "telephone_number": "310-346-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S ALVARADO ST",
            "address_2": "UNIT D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572903",
            "telephone_number": "213-483-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.