Provider Demographics
NPI:1588176572
Name:HAIPING WANG, M.D.
Entity Type:Organization
Organization Name:HAIPING WANG, M.D.
Other - Org Name:HAIPING WANG, MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAIPAING
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-570-0467
Mailing Address - Street 1:123 N GARFIELD AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3564
Mailing Address - Country:US
Mailing Address - Phone:626-570-0467
Mailing Address - Fax:626-570-0673
Practice Address - Street 1:123 N GARFIELD AVE STE D
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3564
Practice Address - Country:US
Practice Address - Phone:626-570-0467
Practice Address - Fax:626-570-0673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44710207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A447100Medicaid