Wang Integrative Rehabilitation, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A7684 Issued in CA

Legal business name

WANG INTEGRATIVE REHABILITATION, INC.

Practice address

255 E Bonita Ave
Pomona, CA 91767-1923

Phone

(909) 450-0158

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Kenten Wang, D.O.

Title

President

Phone

(916) 239-8682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1396106936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12664 CHAPMAN AVE",
            "address_2": "UNIT 1414",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404000",
            "telephone_number": "916-239-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-450-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG INTEGRATIVE REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "KENTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-239-8682",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A7684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Walpus
• April Marion Walters
• Ashlee Rae Walters
• Mariam Seda Walters, PA-C
• Monika Stephanie Wan, PHARMD
• Derek J.S. Wang
• Geena Wang
• Leeann Linda Wang
• Michelle Wang
• Vera Wang

• Physical Medicine & Rehabilitation Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.