Mylea N Wiley Md Inc.

LBN: Mylea N Wiley Md Inc.
Mylea N Wiley Md Inc. is an health care organization with primary practice located at 2755 Herndon Ave , Clovis CA 93611-6801. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Mylea N Wiley Md Inc. can be contacted via phone (559) 324-4000, or through Wiley, Mylea N via phone (513) 237-3242.

Contact Information

Primary practice address
2755 Herndon Ave Clovis CA 93611-6801
Phone: (559) 324-4000
Fax: (559) 324-3744
Website:
Map and Directions
Authorized official contact:
Name: Wiley, Mylea N Doctor of Medicine (MD)
Phone: (513) 237-3242

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1760012959
LBN Legal business name Mylea N Wiley Md Inc.
DBA Doing business as
Authorized official Wiley, Mylea N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2020
Last updated Jul 18th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760012959 NPPES
California MEDICAID 00A889170

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