Pu Polly Wang

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11270 Issued in CA

Practice address

511 1/2 Elizabeth Ave
Monterey Park, CA 91755-1403

Phone

(323) 633-0398

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• De-Yi Chinese Herb & Acupuncture Clinic

  • Acupuncturist
  • Rosemead, CA
  • NPI 1316624869
  NPD (past) Authorized official

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1306220462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224622",
            "telephone_number": "323-888-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 1/2 ELIZABETH AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551403",
            "telephone_number": "323-633-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "PU",
        "middle_name": "POLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "CA11270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Wang, MD
• Kuan I Wang, MD
• Lynn Wang, M.D.
• Michelle Kun Wang, NP
• Nai Chieh Wang, O.D.
• Sharon Hsueh Chun Wang
• Shu Zu Wang
• Wei Wang, MD
• Weijun Wang, L.AC
• Weizhong Wang

• Acupuncturist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.