NPIMap

Organization Active NPI

Linda T. Wang M.D., Inc

Doing business as Linda T Wang MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Alamitos, CA
National Provider Identifier
1679531842
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G81232 Issued in CA
Legal business name
LINDA T. WANG M.D., INC
Doing business as
Linda T Wang MD
Practice address
10861 Cherry St
Suite 308
Los Alamitos, CA 90720-5402
Phone
(562) 988-8787
Fax
(562) 988-8780
NPI assigned
May 3, 2006
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Ms. Linda T. Wang, MDNPI 1073794368
Title
Ceo President
Phone
(562) 988-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G81232 CA Primary

Addresses

Primary practice location

10861 Cherry St
Suite 308
Los Alamitos, CA 90720-5402

Mailing address

10861 Cherry St
Suite 308
Los Alamitos, CA 90720-5402
Phone (562) 988-8787

Other identifiers 1

IdentifierTypeStateIssuer
00G812320MedicaidCA

Other names 1

  • Linda T Wang MD Doing business as

National Provider Directory

National Provider Directory

Locations

2840 Long Beach Blvd
Ste 435
Long Beach, CA 90806
Phone (562) 988-8787

10861 Cherry St
Ste 209
Los Alamitos, CA 90720
Phone (310) 948-5903

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1679531842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST",
            "address_2": "SUITE 308",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-988-8787",
            "fax_number": "562-988-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST",
            "address_2": "SUITE 308",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-988-8787",
            "fax_number": "562-988-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA T. WANG M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "562-988-8787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G81232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G812320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda T Wang MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.