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Grace Wang
NPI 1992115877 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2241 Michael Dr
Newbury Park, CA 91320 - Phone
- (805) 375-6650
- Fax
- (805) 375-6654
- Organisation at this address
- Grace Wang
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California