IndividualActive
Bok Ji Benji Wang
NPI 1780562702 · Ophthalmic Assistant · Los Angeles, CA
Provider details
- NPI number
- 1780562702
- Entity type
- Individual
- Primary specialty
- Ophthalmic AssistantEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 306587 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Approximate (ZIP-level) locationGet directions
Mailing address
750 Garland Ave Apt 612
Los Angeles, CA 90017-4488
Registry dates
- Enumerated
- 2025-08-26
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.