Provider Demographics
NPI:1760551717
Name:WANG, DANNY CHING (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:CHING
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1587
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91009-4587
Mailing Address - Country:US
Mailing Address - Phone:626-357-4600
Mailing Address - Fax:626-357-4661
Practice Address - Street 1:2329 E. HUNTINGTON DR.
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2102
Practice Address - Country:US
Practice Address - Phone:626-357-4600
Practice Address - Fax:626-357-4661
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77219208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics