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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174215370

Derek J.s. Wang is a Student in an Organized Health Care Education/Training Program in Pomona, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 469-5589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174215370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2023
Last updated in NPPESJune 17, 2023
Certification dateJune 17, 2023
Mailing address309 E 2nd St, Pomona, CA 91766-1854

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