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Kenneth Wang, PHD

NPI 1043761448 · on the registry since 2016 · sole proprietor

Practice

Address
180 N Oakland Ave
Pasadena, CA 91101
Phone
(626) 304-3712
Organisation at this address
Fuller Theological Seminary
Fuller Psychological And Family Services
Proactive Care Professionals, Inc. A Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California