Wynn, Brenton D
Wynn, Brenton D is an individual health care provider with primary practice located at 502 Euclid Ave Ste 200 , National City CA 91950-2984. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wynn, Brenton D can be contacted via phone (619) 434-4019.Contact Information
Primary practice address
502 Euclid Ave Ste 200
National City CA 91950-2984
Phone: (619) 434-4019
Fax: (619) 461-5663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | A73257 | California |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | A73257 | California |
Profile Details
NPI number | 1528069820 |
---|---|
LBN Legal business name | Wynn, Brenton D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
Last updated | Jun 24th, 2021 - about 3 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 | 1528069820 | NPPES |
California | Other | W18884 | MEDICARE GROUP NUMBER |
Popular Providers
-
Dowling, David J
6286 Briarcrest Ave Suite 200, Memphis TN 38120-4023 -
Sorensen, Michael J
1223 Willow Creek Rd , Prescott AZ 86301-1427 -
Saal, Jeffrey Alan
500 Arguello Street Ste 100, Redwood City CA 94063 -
Moorthi, David S
739 Irving Ave Ste 600 , Syracuse NY 13210-1663 -
Ferguson, Ryan Joseph
3553 Whipple Rd Fl 2 , Union City CA 94587-1507 -
Wilcox, Dan C
124 E Rowan Ave Ste 202 , Spokane WA 99207-1214 -
Patterson, Dwayne E
7101 Creedmoor Rd Ste 109 , Raleigh NC 27613-1682 -
Kuo, Daniel
18605 Gale Ave Ste 222 , City Of Industry CA 91748-1344