Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON WANG, MD
ActiveJACKSON WANG, MD is a Nephrology healthcare provider located in GRASS VALLEY, California. NPI 1003183617 is currently active in the NPPES registry. Verify at CMS.
Nephrology · GRASS VALLEY, CA
Registration Details
- NPI Number
- 1003183617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2011 (14.732167381253 yrs)
- Last Updated
- May 19, 2015
- License
-
A119259 (CA)
Practice Information
- Address
-
10058 WOLF RDGRASS VALLEY, CA, 959498194Browse CA providers · Browse ZIP 95949
- Phone
- 5302687708
- Primary Specialty
-
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.