Individual ProviderCandice WangStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868(714) 456-5691PECOS EnrollmentBased on the most recent information from CMS, provider Candice Wang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1356978647Provider TypeIndividualFull NameWang, CandiceCredentialDOGenderFemaleSole ProprietorNoEnumeration Date3/25/2020Last Updated5/17/2021Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868Phone(714) 456-5691Fax(714) 456-8874Mailing LocationMailing Address333 City Blvd W Ste 400, Orange, CA 92868-2994Phone(714) 456-5691FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer