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Kim L Wang, MD
Specialist in Sacramento, California
NPI 1174615215

Kim L Wang is a Specialist based in Sacramento, CA. Kim L Wang practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for Kim L Wang is 1174615215 and holds a License No. A96087 (California).

The current practice location address for Kim L Wang is 3301 C St, Sacramento, CA and can be reached out via phone at 916-447-6267 and via fax at 916-447-0621.

Location: 3301 C St, Sacramento, CA, 95816-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174615215
Provider Name
Kim L Wang
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3301 C St, Sacramento, CA, 95816-3300
Phone Number
916-447-6267
Fax Number
916-447-0621
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BM269T 01 CA MEDICARE PTAN
BM269W 01 CA MEDICARE PTAN
BM269U 01 CA MEDICARE PTAN
BM269Y 01 CA MEDICARE PTAN
A96087 05 CA
BM269V 01 CA MEDICARE PTAN
A96087 01 CA MEDICAL LICENSE NUMBER
BM269S 01 CA MEDICARE PTAN
BM269X 01 CA MEDICARE PTAN
BM269Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3301 C St
City
Sacramento
State
California
Zip
95816-3300
Phone Number
916-447-6267
Fax Number
916-447-0621
person
Provider Business Mailing Address Details
Address
3301 C St
City
Sacramento
State
California
Zip
95816-3300
Phone Number
916-447-6267
Fax Number
916-447-0621
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A96087 (California)
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.
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