Wang, Yen Tun

Wang, Yen Tun is an sole proprietor health care provider with primary practice located at 1510 S Central Ave Suite 470, Glendale CA 91204-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wang, Yen Tun can be contacted via phone (818) 242-6357.

Contact Information

Primary practice address
1510 S Central Ave Suite 470 Glendale CA 91204-2500
Fax: (818) 242-3628
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X A123156 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A123156 California

Profile Details

NPI number 1013206945
LBN Legal business name Wang, Yen Tun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2011
Last updated Feb 14th, 2017 - about 7 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 1013206945 NPPES
California Other A123156 MEDICAL LICENSE

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