Provider Demographics
NPI:1528282233
Name:WANG, YIPING (MD)
Entity type:Individual
Prefix:
First Name:YIPING
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20151 VIA CELLINI
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4044
Mailing Address - Country:US
Mailing Address - Phone:818-737-6150
Mailing Address - Fax:
Practice Address - Street 1:8403 FALLBROOK AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3226
Practice Address - Country:US
Practice Address - Phone:818-737-6150
Practice Address - Fax:818-737-6216
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79532207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A795320Medicaid
CACX705ZMedicare PIN