Abreu, Wanda
Abreu, Wanda is an individual health care provider with primary practice located at 1111 N China Lake Blvd , Ridgecrest CA 93555-3131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abreu, Wanda can be contacted via phone (760) 499-3855.Contact Information
Primary practice address
1111 N China Lake Blvd
Ridgecrest CA 93555-3131
Phone: (760) 499-3855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A83687 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 291708 | New York |
Profile Details
| NPI number | 1780614693 |
|---|---|
| LBN Legal business name | Abreu, Wanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Feb 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780614693 | NPPES |
| California | MEDICAID | GR0095040 |
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