Organization Active NPI

George H. Wang, M.D. OB/GYN Med Corp

  • Obstetrics & Gynecology Physician
  • Monterey Park, CA
National Provider Identifier
1639427222
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A73256 Issued in CA
Legal business name
GEORGE H. WANG, M.D. OB/GYN MED CORP
Practice address
2211 S Atlantic Blvd
Suite B
Monterey Park, CA 91754-6833
Phone
(323) 266-1100
Fax
(323) 266-1199
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Jennifer L Escobedo
Title
Office Manager
Phone
(323) 266-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A73256 CA Primary

Addresses

Primary practice location

2211 S Atlantic Blvd
Suite B
Monterey Park, CA 91754-6833

Mailing address

2211 S Atlantic Blvd
Suite B
Monterey Park, CA 91754-6833
Phone (323) 266-1100

Other identifiers 1

IdentifierTypeStateIssuer
00A732561MedicaidCA

National Provider Directory

National Provider Directory

Locations

2211 S Atlantic Blvd
Ste B
Monterey Park, CA 91754
Phone (323) 266-1100

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1639427222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S ATLANTIC BLVD",
            "address_2": "SUITE B",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546833",
            "telephone_number": "323-266-1100",
            "fax_number": "323-266-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S ATLANTIC BLVD",
            "address_2": "SUITE B",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546833",
            "telephone_number": "323-266-1100",
            "fax_number": "323-266-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE H. WANG, M.D. OB/GYN MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-266-1100"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A73256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A732561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.