COLIN GLEN WANG

LOS ANGELES, CA
NPI1134984487
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-02-15
Last Update Date2024-02-15
Business Address
COLIN GLEN WANG MD
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373
Mailing Address
COLIN GLEN WANG MD
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373