Individual provider · Type 1 NPI

Theodore Wang

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1124887625 Active

Practice location

200 W Arbor Dr # MC8425
San Diego, CA 92103-1911

Call (619) 543-6268 Map

Mailing address

2700 SW Archer Rd Apt E21
Gainesville, FL 32608-1329

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124887625

Theodore Wang's National Provider Identifier is 1124887625, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Mar 18, 2024.