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
Phone: (310) 376-6262
Fax: (310) 376-8228
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306950738 | NPPES |
California | MEDICAID | WG74753P |
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