Provider Demographics
NPI:1386831139
Name:YI WANG, M.D., INC.
Entity Type:Organization
Organization Name:YI WANG, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-715-7575
Mailing Address - Street 1:20651 GOLDEN SPRINGS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3866
Mailing Address - Country:US
Mailing Address - Phone:626-715-7575
Mailing Address - Fax:909-594-0696
Practice Address - Street 1:20651 GOLDEN SPRINGS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-3866
Practice Address - Country:US
Practice Address - Phone:626-715-7575
Practice Address - Fax:909-594-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98547207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty