Kim L Wang is a Specialist in Sacramento, California. Kim L Wang practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kim L Wang is 1174615215. The last update date is 2009-05-06.
Kim L Wang's current location address is 3301 C St, Sacramento, California. You can contact this provider via phone number 9164476267 and fax number 9164470621. The mailing address for Kim L Wang is 3301 C St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim L Wang |
|---|---|
| Address | 3301 C St, Sacramento, California |
| Phone Number | 9164476267 |
| Fax Number | 9164470621 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174615215 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2009-05-06 |
Provider Mailing Address Detail
| Address | 3301 C St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958163300 |
| Phone Number | 9164476267 |
| Fax Number | 9164470621 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A96087 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BM269T | CA | MEDICARE PTAN | |
| BM269W | CA | MEDICARE PTAN | |
| BM269U | CA | MEDICARE PTAN | |
| BM269Y | CA | MEDICARE PTAN | |
| A96087 | CA | -- | |
| BM269V | CA | MEDICARE PTAN | |
| A96087 | CA | MEDICAL LICENSE NUMBER | |
| BM269S | CA | MEDICARE PTAN | |
| BM269X | CA | MEDICARE PTAN | |
| BM269Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Kim L Wang by the Centers for Medicare & Medicaid Services?
The Kim L Wang has been issued the NPI (National Provider Identifier) 1174615215. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kim L Wang is physically located?
The Kim L Wang is physically situated at the following address: 3301 C St, Sacramento, CA, 958163300.
What is Kim L Wang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim L Wang's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date was the 1174615215 assigned to Kim L Wang?
The Kim L Wang was issued its 1174615215 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kim L Wang most recently updated or revised?
The details related to Kim L Wang, including its address, specialty, and other relevant information, were last updated or revised on 2009-05-06.
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