Active NPI
Allan Wang, M.D.
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1114028404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A89518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A89518 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
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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.