HOLLY WANG MD INC NPI 1043515877

NPI Information

  • NPI: 1043515877
  • Provider Name: HOLLY WANG MD INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: KINDERCARE PEDIATRICS
  • CLIA Number: 05D2016724
  • Address: 50 ALESSANDRO PL
    SUITE 200
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 696-1234

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NPI Details

HOLLY WANG MD INC is a pediatrics in Pasadena, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HOLLY WANG MD INC NPI is 1043515877. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kindercare Pediatrics.

The provider's business location address is:

50 ALESSANDRO PL
SUITE 200
PASADENA, CA
ZIP 91105-149
Phone: (626) 696-1234
Fax: (626) 696-1230

The provider's authorized official is Ezekiel Wang .
The authorized official title is Practice Manager and has the following contact phone number (626) 696-1234.

The CLIA number assigned to this NPI record is 05D2016724 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 1/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsA69635CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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