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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952339632 | NPPES |
| California | MEDICAID | 00A234300 |
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