Wang, Edward
Wang, Edward is an sole proprietor health care provider with primary practice located at 175 N Jackson Ave Ste 206 , San Jose CA 95116-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wang, Edward can be contacted via phone (669) 214-2599.Contact Information
Primary practice address
175 N Jackson Ave Ste 206
San Jose CA 95116-1909
Phone: (669) 214-2599
Fax: (669) 214-2766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G54057 | California |
Profile Details
| NPI number | 1972558666 |
|---|---|
| LBN Legal business name | Wang, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972558666 | NPPES |
| California | MEDICAID | 00G540570 |
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