Wach, Michael Lynn
Wach, Michael Lynn is an individual health care provider with primary practice located at 3100 E Florence Ave Ste 4 , Huntington Park CA 90255-5848. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Wach, Michael Lynn can be contacted via phone (323) 749-6950.Contact Information
Primary practice address
3100 E Florence Ave Ste 4
Huntington Park CA 90255-5848
Phone: (323) 749-6950
Fax: (323) 749-6951
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E4125 | California |
Profile Details
NPI number | 1265469084 |
---|---|
LBN Legal business name | Wach, Michael Lynn |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | Feb 23rd, 2021 - about 3 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 | 1265469084 | NPPES |
California | MEDICAID | 000E41250 |
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