Wytrzes, Lydia Maria

Wytrzes, Lydia Maria is an sole proprietor health care provider with primary practice located at 87 Scripps Dr Suite 318, Sacramento CA 95825-6372. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Wytrzes, Lydia Maria can be contacted via phone (916) 564-3610.

Contact Information

Primary practice address
87 Scripps Dr Suite 318 Sacramento CA 95825-6372
Fax: (916) 564-3630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X G60213 California

Profile Details

NPI number 1578634929
LBN Legal business name Wytrzes, Lydia Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated May 19th, 2008 - about 16 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 1578634929 NPPES
California MEDICAID 3562123

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