Provider Demographics
NPI:1710948112
Name:WANG, FANPING (MD)
Entity Type:Individual
Prefix:
First Name:FANPING
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2241 WANKEL WAY
Mailing Address - Street 2:STE C
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0190
Mailing Address - Country:US
Mailing Address - Phone:805-983-0922
Mailing Address - Fax:805-983-1997
Practice Address - Street 1:2241 WANKEL WAY
Practice Address - Street 2:STE C
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0190
Practice Address - Country:US
Practice Address - Phone:805-983-0922
Practice Address - Fax:805-983-1997
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA56286207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A56286OtherBLUESHIELD
CAWA56286AMedicare PIN
CAH76072Medicare UPIN