NPI 1003151259

Vanessa Wang, PAC

Practitioner Physician Assistant San Diego, CA

Practice location

Address: 7830 Clairemont Mesa Blvd Suite 203, San Diego, CA 92111-1632
Phone: (858) 300-2626

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA22575 (CA)

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Registry record

NPI: 1003151259
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2012
Record last updated: 29 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.