Tom, Wynnis L.

Tom, Wynnis L. is an individual health care provider with primary practice located at 8010 Frost St Ste 602, San Diego CA 92123-2778. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Tom, Wynnis L. can be contacted via phone (858) 966-6795.

Contact Information

Primary practice address
8010 Frost St Ste 602 San Diego CA 92123-2778
Phone: (858) 966-6795
Fax: (858) 966-4040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X A99290 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A99290 California

Profile Details

NPI number 1922215045
LBN Legal business name Tom, Wynnis L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 19th, 2011 - about 13 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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