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
Phone: (818) 242-6357
Fax: (818) 242-3628
Website:
Health care specialties
Specialty | Code | License # | 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 8 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 | 1013206945 | NPPES |
California | Other | A123156 | MEDICAL LICENSE |
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