Tien, Wendy Chern Wan

Tien, Wendy Chern Wan is an individual health care provider with primary practice located at 1624 W Olive Ave Suite F, Burbank CA 91506-2459. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Tien, Wendy Chern Wan can be contacted via phone (818) 843-2835.

Contact Information

Primary practice address
1624 W Olive Ave Suite F Burbank CA 91506-2459
Fax: (818) 843-3310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A99688 California

Profile Details

NPI number 1740493048
LBN Legal business name Tien, Wendy Chern Wan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Feb 10th, 2015 - about 11 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 1740493048 NPPES
California Other A99688 CALIFORNIA LICENSE NUMBER
California Other 1740493048 CALIFORNIA LICENSE NUMBER

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