Provider Demographics
NPI:1407293723
Name:WANG, HSIAO-YUAN
Entity Type:Individual
Prefix:
First Name:HSIAO-YUAN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 S EVANWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3650
Mailing Address - Country:US
Mailing Address - Phone:626-962-5842
Mailing Address - Fax:
Practice Address - Street 1:751 S EVANWOOD AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3650
Practice Address - Country:US
Practice Address - Phone:626-962-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor