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

Mr. Peter Wang, ATC, EMT

Individual provider Athletic Trainer · NPI 1407453343

Mr. Peter Wang, ATC, EMT is an Athletic Trainer in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
EMT — Emergency Medical Technician
Provides emergency care before and during transport to hospital.

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Practice location Address checks out

3034 Belmont Dr
Lodi, CA 95242-9732
Phone: (209) 625-9585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence BOC069502723 (CA)

Record details

NPI number1407453343
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , EMT
Sole proprietorYes
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 5, 2020
Certification dateSeptember 29, 2020
Mailing address3034 Belmont Dr, Lodi, CA 95242-9732

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