Provider Demographics
NPI:1821180019
Name:LIU AND WANG MEDICAL CORP
Entity Type:Organization
Organization Name:LIU AND WANG MEDICAL CORP
Other - Org Name:URGENTCARE MEDICAL CENTER OF ROWLAND HEIGHTS
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-281-0090
Mailing Address - Street 1:1118 S GARFIELD AVE
Mailing Address - Street 2:201
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4713
Mailing Address - Country:US
Mailing Address - Phone:626-281-0090
Mailing Address - Fax:
Practice Address - Street 1:1118 S GARFIELD AVE
Practice Address - Street 2:201
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4713
Practice Address - Country:US
Practice Address - Phone:626-281-0090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty