Michael Wang, Od, a Professional Optometric Corporation

NPI #1184002172 in San Diego, California

Provider Information

NPI Number: 1184002172
Entity Type: Organization
Organization Name: Michael Wang, Od, a Professional Optometric Corporation
Primary Specialty: Optometrist
Enumeration Date: May 11, 2015
Last Updated: May 11, 2015

Practice Location

Address: 10066 PACIFIC HEIGHTS BLVD
Address 2: SUITE 112
City: San Diego
State: California
ZIP Code: 92121-4211
Phone: (858) 526-0890

Authorized Official

Name: MICHAEL WANG, O. D.
Title: PRESIDENT
Phone: (858) 526-0890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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