Wenger, Spencer H

Wenger, Spencer H is an individual health care provider with primary practice located at 12618 Hawthorne Blvd. , Hawthorne CA 90250-2325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wenger, Spencer H can be contacted via phone (310) 263-5700.

Contact Information

Primary practice address
12618 Hawthorne Blvd. Hawthorne CA 90250-2325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A33619 California

Profile Details

NPI number 1649271040
LBN Legal business name Wenger, Spencer H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 18th, 2021 - about 4 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 1649271040 NPPES
California MEDICAID 00A336190

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