Michelle Z Wang MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A104742 Issued in CA

Legal business name

MICHELLE Z WANG MD PC

Practice address

4640 Admiralty Way
Marina del Rey, CA 90292-6621

Phone

(310) 305-1020

NPI assigned

Jan 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Z Wang, M.D.

Title

President

Phone

(310) 792-3914

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1508161167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "310-792-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-305-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE Z WANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A104742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A104742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Messer, LAC
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• Shlomit Michaely, PH. D. L. AC.
• Harvey Walter Miller, M.D.
• Melanie Calanno Miller, LPTA
• Madison Milmeister, MS, M.ED, RDN
• Octavia Milsap
• Linda Misch, O.M.D.

• Anesthesiology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.