Mundwiller, Tonja

Mundwiller, Tonja is an individual health care provider with primary practice located at 1010 N Sepulveda Blvd , Manhattan Beach CA 90266-5929. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mundwiller, Tonja can be contacted via phone (310) 376-6262.

Contact Information

Primary practice address
1010 N Sepulveda Blvd Manhattan Beach CA 90266-5929
Fax: (310) 376-8228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G74753 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G74753 California

Profile Details

NPI number 1306950738
LBN Legal business name Mundwiller, Tonja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306950738 NPPES
California MEDICAID WG74753P

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