Wang, Jin

Wang, Jin is an individual health care provider with primary practice located at 1317 W Foothill Blvd Ste 148, Upland CA 91786-3676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wang, Jin can be contacted via phone (909) 981-5882.

Contact Information

Primary practice address
1317 W Foothill Blvd Ste 148 Upland CA 91786-3676
Phone: (909) 981-5882
Fax: (909) 946-0833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A49349 California

Profile Details

NPI number 1154353126
LBN Legal business name Wang, Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 2nd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154353126 NPPES
California MEDICAID 00A493490

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