Wacholder, Myron Bruce

Wacholder, Myron Bruce is an individual health care provider with primary practice located at 24451 Health Center Dr , Laguna Hills CA 92653-3689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wacholder, Myron Bruce can be contacted via phone (714) 837-4500.

Contact Information

Primary practice address
24451 Health Center Dr Laguna Hills CA 92653-3689
Phone: (714) 837-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A23430 California

Profile Details

NPI number 1952339632
LBN Legal business name Wacholder, Myron Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 6th, 2008 - about 16 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 1952339632 NPPES
California MEDICAID 00A234300

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