Basic Information
| Provider Information | |||||||||
| NPI: | 1104833532 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WANG | ||||||||
| FirstName: | YI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | L.AC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2147 SAND DOLLAR DR | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 948047484 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102310398 | ||||||||
| FaxNumber: | 5102310398 | ||||||||
| Practice Location | |||||||||
| Address1: | 928 SAN PABLO AVE | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 947062010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105176341 | ||||||||
| FaxNumber: | 5102310398 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | AC 6689 | CA | Y | Other Service Providers | Acupuncturist |
No ID Information.