Doctor Name: | DR. MICHAEL CHUN WANG |
NPI Number: | 1497751473 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., L.AC. |
License Number: | DC26509 |
Business Practice Address: | 1260 Hamner Ave Suite E Norco, CA - 928603136 |
Business Phone Number: | 9518088320 |
Business Fax Number: | 9518088313 |
Mailing Address: | 16809 Ruff Dr, HACIENDA HEIGHTS |
State: | CA |
Postal Code: | 917455630 |
Phone Number: | 6269616889 |
Fax Number: | 6269686629 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC26509 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |