Provider Demographics
NPI:1730311952
Name:WANG, HSUAN (DC)
Entity type:Individual
Prefix:DR
First Name:HSUAN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2901
Mailing Address - Country:US
Mailing Address - Phone:714-738-5080
Mailing Address - Fax:714-738-7060
Practice Address - Street 1:111 W ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2901
Practice Address - Country:US
Practice Address - Phone:714-738-5080
Practice Address - Fax:714-738-7060
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31091111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor