Wildon Lin Md, Inc

NPI 1053503011 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053503011
Enumeration Date 08/14/2007
Last Updated 08/14/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILDON WILDON
Position CEO
Phone (626) 962-1111
Fax (626) 962-1219
Practice Location
1135 S SUNSET AVE
SUITE 307
WEST COVINA CA, 91790-3937, US
Phone (626) 962-1111
Fax (626) 962-1219
Business Location
1135 S SUNSET AVE
SUITE 307
WEST COVINA CA, 91790-3937, US
Phone (626) 962-1111
Fax (626) 962-1219
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number A67768
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According to our database, Wildon Lin Md, Inc NPI is 1053503011, taxonomy code is 261Q00000X and license number is A67768, license state is located at California. Wildon Lin Md, Inc physically located at 1135 S Sunset Ave, West Covina CA, 91790-3937. NPI Number 1033115704 has the healthcare provider type.

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1053503011 NPI number is provided on an as is basis without warranty of any kind. 1053503011 is maintained by the National Plan & Provider Enumeration System. The contents of Wildon Lin Md, Inc are for informational purposes only.