Organization Active NPI

Amy Q Wang MD a Professional Medical Corp

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1730472390
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A72227 Issued in CA
Legal business name
AMY Q WANG MD A PROFESSIONAL MEDICAL CORP
Practice address
1700 E Cesar E Chavez Ave
Suite 1200
Los Angeles, CA 90033-2424
Phone
(323) 264-7238
Fax
(323) 264-7052
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Mrs. Amy Q Wang, M.D.
Title
President
Phone
(562) 528-6848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X A72227 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave
Suite 1200
Los Angeles, CA 90033-2424

Mailing address

PO Box 4988
Cerritos, CA 90703-4988
Phone (562) 528-6848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1730472390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4988",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034988",
            "telephone_number": "562-528-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 1200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "323-264-7238",
            "fax_number": "323-264-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY Q WANG MD A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-528-6848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A72227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.