Provider Demographics
NPI:1538108139
Name:WANG, MAY M (MD)
Entity Type:Individual
Prefix:MS
First Name:MAY
Middle Name:M
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11803 CARSON ST
Mailing Address - Street 2:
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-1127
Mailing Address - Country:US
Mailing Address - Phone:562-924-4455
Mailing Address - Fax:562-924-1240
Practice Address - Street 1:11803 CARSON ST
Practice Address - Street 2:
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716
Practice Address - Country:US
Practice Address - Phone:562-924-4455
Practice Address - Fax:562-924-1240
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48552207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA48552F3OtherEHS HF
CA00A485520Medicaid
CA16510OtherCARE1ST
CAA048552OtherHEALTHNET
CAA48552HOtherLACARE HF
CAE89833Medicare UPIN
CA00A485520Medicaid