George J Wang, DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9862 Issued in CA

Legal business name

GEORGE J WANG, DO INC

Practice address

416 W Las Tunas Dr
San Gabriel, CA 91776-1236

Phone

(626) 389-8448

Fax

(626) 768-7585

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. George Jaw-Jen Wang, D.O.

Title

President, Ceo

Phone

(310) 403-6288

Specialties & licenses 1

Addresses

Other names 1

• California Wound Specialists Doing business as

Locations

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1508271677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-389-8448",
            "fax_number": "626-768-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-389-8448",
            "fax_number": "626-768-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J WANG, DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JAW-JEN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "310-403-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Wound Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dipti Gandhi, M.ED., BCBA
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• Erika Garza
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• Jing Ge
• George M. Ko, D.D.S., Inc.
• George Xenakis, DDS, PC
• Sandy Gesell, PMH-NP
• Lusineh Gharapetian
• Robert Ghatan, M.D.

• Family Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.