| Wynn Medical Center Nephrology | |
|
9120 Valley Blvd Rosemead CA 91770-1920 | |
| (626) 316-8169 | |
| Not Available |
| Full Name | Wynn Medical Center Nephrology |
|---|---|
| Speciality | Internal Medicine |
| Location | 9120 Valley Blvd, Rosemead, California |
| Authorized Official Name and Position | Huynh Tran (PRESIDENT/CEO) |
| Authorized Official Contact | 6169900782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wynn Medical Center Nephrology 9120 Valley Blvd Rosemead CA 91770-1920 Ph: (626) 316-8169 | Wynn Medical Center Nephrology 9120 Valley Blvd Rosemead CA 91770-1920 Ph: (626) 316-8169 |
| NPI Number | 1750139580 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 9739624057 |
|---|---|
| Medicare Enrollment ID | O20240711000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750139580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Tuan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164959185 PECOS PAC ID: 5496023624 Enrollment ID: I20220523002402 |
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