Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Wang

Individual provider Physical Therapist · NPI 1265785828

Andre Wang is a Physical Therapist in Private Practice in Culver City, California. Graduated from University of Southern California Keck School of Medicine in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

3831 Hughes Ave Ste 104
Culver City, CA 90232-6834
Phone: (310) 837-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT39378 (CA)

Record details

NPI number1265785828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2012
Last updated in NPPESDecember 6, 2021
Mailing address1905 Cedar St Apt 4c, Alhambra, CA 91801-1894

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Culver City