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Theodore Wang
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1124887625

Theodore Wang is a Student in an Organized Health Care Education/Training Program based in Gainesville, CA. Theodore Wang practices in San Diego, CA. The NPI Number for Theodore Wang is 1124887625 and holds a License No. (California).

The current practice location address for Theodore Wang is 200 W Arbor Dr # Mc8425, San Diego, CA and can be reached out via phone at 619-543-6268.

Location: 200 W Arbor Dr # Mc8425, San Diego, CA, 32608-1329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124887625
Provider Name
Theodore Wang
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr # Mc8425, San Diego, CA, 32608-1329
Phone Number
619-543-6268
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr # Mc8425
City
San Diego
State
California
Zip
92103-1911
Phone Number
619-543-6268
Fax Number
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr # Mc8425
City
San Diego
State
California
Zip
92103-1911
Phone Number
619-543-6268
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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