JENNIFER LU WANG (NPI# 1649419854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649419854 |
| Entity Type | Individual |
| Full Name | JENNIFER LU WANG |
| Credential | DDS |
| Practice Address |
3060 Baldwin Park Blvd Baldwin Park CA 91706-4704 |
| Mailing Address |
3890 Cartwright St Pasadena CA 91107-1907 |
| Practice Telephone | 6268134488 |
| Mailing Telephone | 6263770910 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 56185 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56185 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 E Buckthorn St, Inglewood, CA 903013418 | 3104193000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| 1013388909 | Jennifer Wang | Physician Assistant | 3753 78th St, Jackson Heights, NY 11372-6631 | 2015-10-17 |
| 1114312329 | Jennifer Yu Wang | Dermatology | 450 Broadway Street Mc 5334, Redwood City, CA 94063-3132 | 2015-04-03 |
| 1225420284 | Jennifer Joy Wang | Nurse Anesthetist, Certified Registered | 9419 Mclennan Ave, Northridge, CA 91343-2723 | 2015-02-28 |
| 1326385766 | Jennifer Han Ju Wang | Pharmacist | 21540 30th Dr Se Ste 330, Bothell, WA 98021-7015 | 2013-01-04 |
| 1548505217 | Jennifer W Wang | Dentist | 2996 S. Norfolk St, E, San Mateo, CA 94403 | 2012-12-06 |
| 1306116934 | Jennifer Wang | Internal Medicine | One Gustave Levy Place, Department of Surgery, 1264, New York, NY 10029 | 2012-01-12 |
| 1952461501 | Jennifer L Wang | Dentist | 2225 Williams Trace Blvd Ste 101, Sugar Land, TX 77478-4440 | 2006-12-12 |
| 1114014107 | Jennifer Wang | Social Worker | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2006-10-10 |
| Street Address |
3060 BALDWIN PARK BLVD |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1811243942 | Corazon V. Bustos, D.m.d. | Dentist | 4322 N. Maine Ave, Baldwin Park, CA 91706-3314 | 2012-07-26 |
| 1417220732 | Martha Patricia Parroquin Professional Dental Corporation | Dentist | 3709 Baldwin Park Blvd Ste J, Baldwin Park, CA 91706-4178 | 2012-02-16 |
| 1952688095 | Hyun Soo Yun Inc | Dentist | 14135 Francisquito Avenue, 107, Baldwin Park, CA 91706 | 2011-11-03 |
| 1639451198 | Richie Lee | Dentist | 3223 Baldwin Park Blvd, Baldwin Park, CA 91706-4802 | 2011-09-12 |
| 1740477470 | Mario V Robles | Dentist | 13533 Francisquito Ave, Baldwin Park, CA 91706-4834 | 2007-09-26 |
| 1316147283 | Haejean Lee Dds Inc. | Dentist | 14514 Ramona Blvd Ste 1, Baldwin Park, CA 91706-3361 | 2007-07-19 |
| 1982805057 | Gina Buenaventura Aquino | Dentist | 14531 Pacific Ave, Baldwin Park, CA 91706-5331 | 2007-05-29 |
| 1952519738 | Corazon Virata Bustos | Dentist | 4322 Maine Ave, Baldwin Park, CA 91706-3314 | 2007-05-18 |
| 1659586949 | Friendly Dental Center | Dentist | 14607 Ramona Blvd, Ste B, Baldwin Park, CA 91706-3465 | 2007-05-11 |
| Find all providers in BALDWIN PARK | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
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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.