Jennifer Lu Wang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56185 Issued in CA

Practice address

3060 Baldwin Park Blvd
Baldwin Park, CA 91706-4704

Phone

(626) 813-4488

NPI assigned

Feb 11, 2009

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodas Rokhsar and Wang

  • Dentist
  • South El Monte, CA
  • NPI 1275176430
  NPD Authorized official
• The Children's Dental Center

  • Public Health Dentistry
  • Inglewood, CA
  • NPI 1740392216
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1649419854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 CARTWRIGHT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071907",
            "telephone_number": "626-377-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064704",
            "telephone_number": "626-813-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Buckthorn St",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903013418",
            "country_code": "US",
            "telephone_number": "310-419-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JENNIFER",
        "middle_name": "LU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56185",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart
• Wal-Mart Stores, Inc. (Vision Center 30-3522)
• Pamela S. Wald, MD
• Walgreen Co (Walgreens #07654)
• Walmart Inc. (Walmart Pharmacy 10-3522)
• Jing Wang, RRT
• Michelle Wang, M.D.
• Michelle P Wang, M.D.
• Wei Vivian Wang
• Yungpo Wang, MD

• General Practice Dentistry in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.