Individual provider · Type 1 NPI
Evelyn Wangsa
Primary Care Nurse Practitioner · San Gabriel, CA
NPI number
1407303753
Active
Practice location
161 W Fairview Ave
San Gabriel, CA 91776-2959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95004913 (CA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1407303753
Evelyn Wangsa's National Provider Identifier is 1407303753, issued on Sep 3, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in San Gabriel, CA. The record was last updated on Feb 17, 2026.