Peter K Wang MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PETER K WANG MD INC

Practice address

12555 Garden Grove Blvd Ste 306
Garden Grove, CA 92843-1904

Phone

(714) 537-0511

Fax

(714) 537-0418

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Peter K Wang, MD

Title

Owner

Phone

(714) 537-0511

Specialties & licenses 1

Addresses

Other names 1

• Peter K Wang MD A Prof Corp Doing business as

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1922293174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 306",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431904",
            "telephone_number": "714-537-0511",
            "fax_number": "714-537-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 306",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431904",
            "telephone_number": "714-537-0511",
            "fax_number": "714-537-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER K WANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-537-0511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter K Wang MD A Prof Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.