Provider Demographics
NPI:1124344767
Name:WANG, GEORGE C (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:C
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3747 WORSHAM AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1734
Mailing Address - Country:US
Mailing Address - Phone:562-430-4513
Mailing Address - Fax:562-430-7718
Practice Address - Street 1:3747 WORSHAM AVE STE 100
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1734
Practice Address - Country:US
Practice Address - Phone:562-430-4513
Practice Address - Fax:562-430-7718
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2018-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1216132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology