| Organization Name: | CHUN YEH WANG MD PHD A PROFESSIONAL CORPORATION |
| NPI Number: | 1023041423 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHUN-YEH WANG (PHYSICIAN) |
| Mailing Address: | 416 W Las Tunas Dr Ste 306 San Gabriel |
| State: | CA US |
| Postal Code: | 917761236 |
| Phone Number: | 6265881555 |
| Fax Number: | 6264575690 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | G72065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy 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. |