Active NPI
Song Cherng Wang, MA
- Clinical Psychologist
- Rosemead, CA
National Provider Identifier
1811022999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23608
- Practice address
- 9353 Valley Blvd
Rosemead, CA 91770-1934 - Phone
- (626) 287-2988
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 23608 | CA | Primary |
Addresses
Primary practice location
9353 Valley Blvd
Rosemead, CA 91770-1934
Mailing address
1033 W Duarte Rd Unit B
Arcadia, CA 91007-7483
Phone (626) 641-5373
Other names 1
- Dr. Paul Cherng Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1811022999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 W DUARTE RD UNIT B",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077483",
"telephone_number": "626-641-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 VALLEY BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701934",
"telephone_number": "626-287-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SONG CHERNG",
"name_prefix": "Dr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "WANG",
"middle_name": "CHERNG",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.