ANDREA LEE WANG (NPI# 1306218110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306218110 |
| Entity Type | Individual |
| Full Name | ANDREA LEE WANG |
| Credential | PHARM.D. |
| Practice Address |
1107 Fair Oaks Ave # 139 South Pasadena CA 91030-3311 |
| Practice Telephone | 6262785044 |
| Mailing Telephone | 6262785044 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 31311 | TX | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
43500 | CA | Pharmacy Service Providers |
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
43500 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568684454 | Andrea Shuyun Wang | Acupuncturist | 12100 Imperial Hwy Suite No 101, Norwalk, CA 90650 | 2007-05-02 |
| 1114188182 | Andrea S. Wang | Otolaryngology | 2315 Broadway, 3rd Fl, New York, NY 10024-4332 | 2008-06-22 |
| 1780616680 | Andrea Susan Wang | Obstetrics & Gynecology | 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4608 | 2006-07-07 |
| Street Address |
1107 FAIR OAKS AVE # 139 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790736 | Angela Dawn Johnston Willis | Pharmacist | 1825 4th St # M3262a, San Francisco, CA 94143-2350 | 2020-04-29 |
| 1316568413 | Jean Doh | Pharmacist | 29323 Fountainwood St, Agoura Hills, CA 91301-4105 | 2020-04-29 |
| 1205457660 | Rami Elattar | Pharmacist | 850 Fair Oaks Ave Ste 300, Arroyo Grande, CA 93420-3929 | 2020-04-27 |
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1518528587 | Jennie Kittipha | Pharmacist | 9090 Wilshire Blvd # 250, Beverly Hills, CA 90211-1848 | 2019-06-21 |
| 1932767977 | Crystal Leung | Pharmacist | 9090 Wilshire Blvd Ste 250, Beverly Hills, CA 90211-1848 | 2019-06-04 |
| 1639625353 | Eunah Cho | Pharmacist | 52 Skytop St Apt 581, San Jose, CA 95134-2330 | 2016-09-01 |
| 1740644533 | Vivian Loo | Pharmacist | 355 Berry St Apt 451, San Francisco, CA 94158-1583 | 2016-04-07 |
| 1851752349 | Minhdai Thi Nguyen | Pharmacist | 506 Toyon Ln, Vacaville, CA 95687-3487 | 2016-03-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.