Provider Demographics
NPI:1255918231
Name:WANG, KAROLINE (MD)
Entity type:Individual
Prefix:
First Name:KAROLINE
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13400 JAMBOREE RD # 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2308
Mailing Address - Country:US
Mailing Address - Phone:714-236-9279
Mailing Address - Fax:
Practice Address - Street 1:13400 JAMBOREE RD # 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2308
Practice Address - Country:US
Practice Address - Phone:714-236-9279
Practice Address - Fax:714-263-9389
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA194705207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine