MICHELLE WANG MD
NPI 1740784263
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Michelle Wang's NPI number?

The NPI number for Michelle Wang is 1740784263. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Michelle Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Wang was last updated on March 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2018PECOS Enrolled

4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(323) 783-4616 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michelle Wang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE WANG MD (NPI 1740784263) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2018).

NPPES Registry Identity

NPI1740784263

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMICHELLE WANGCredential: MD

Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021

Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021

Phone(323) 783-4616

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2018

Enumeration DateMarch 20, 2018

✔ NPI 1740784263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305174988

PECOS Enrollment IDI20250905001639

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JEAN LEE M.D.

Student in an Organized Health Care Education/Training Program