Wing, Diane

Wing, Diane is an individual health care provider with primary practice located at 520 N Prospect Ave Suite 100, Redondo Beach CA 90277-3041. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Wing, Diane can be contacted via phone (310) 376-9222.

Contact Information

Primary practice address
520 N Prospect Ave Suite 100 Redondo Beach CA 90277-3041
Phone: (310) 376-9222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1255364147
LBN Legal business name Wing, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 13th, 2008 - about 17 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 1255364147 NPPES
California Other PT20291 PT LICENSE

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