Provider Demographics
NPI:1639413123
Name:WANG, JAMES K (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 2592
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-8592
Mailing Address - Country:US
Mailing Address - Phone:818-679-8832
Mailing Address - Fax:949-721-8285
Practice Address - Street 1:26 EXECUTIVE PARK
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6739
Practice Address - Country:US
Practice Address - Phone:818-679-8832
Practice Address - Fax:949-721-8285
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2015-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG59796207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine