Shuo S. Wang M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A76144 Issued in CA

Legal business name

SHUO S. WANG M.D. INC.

Practice address

711 W College St Ste 205
Los Angeles, CA 90012-1093

Phone

(213) 261-0889

Fax

(213) 628-1012

NPI assigned

Feb 15, 2009

Organization subpart

No

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

Authorized official

Name

Angela Montoya

Title

Office Manager

Phone

(213) 261-0889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shuo Steven Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1538232137
  Medicare reassignment NPD

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1497994420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917700010",
            "telephone_number": "213-261-0889",
            "fax_number": "213-628-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121093",
            "telephone_number": "213-261-0889",
            "fax_number": "213-628-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUO S. WANG M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-15",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-261-0889"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gale Shuman, LCSW
• Rick Shuman, RICK SHUMAN,PH.D.
• Tara Joy Shuman, PSY.D.
• Nina Shumiatcher
• Hector Shung, DPT
• Shura a Moreno MD
• Philip A Shura Jr., AU.D.
• Caitlin Shureb, PA-C
• Brett David Shurman, M.D.
• Jodie Shurtleff

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.