Abreu, Wanda

Abreu, Wanda is an individual health care provider with primary practice located at 1111 N China Lake Blvd , Ridgecrest CA 93555-3131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abreu, Wanda can be contacted via phone (760) 499-3855.

Contact Information

Primary practice address
1111 N China Lake Blvd Ridgecrest CA 93555-3131
Phone: (760) 499-3855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A83687 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 291708 New York

Profile Details

NPI number 1780614693
LBN Legal business name Abreu, Wanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Feb 15th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780614693 NPPES
California MEDICAID GR0095040

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