Wach, Michael Lynn

Wach, Michael Lynn is an individual health care provider with primary practice located at 3100 E Florence Ave Ste 4 , Huntington Park CA 90255-5848. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Wach, Michael Lynn can be contacted via phone (323) 749-6950.

Contact Information

Primary practice address
3100 E Florence Ave Ste 4 Huntington Park CA 90255-5848
Phone: (323) 749-6950
Fax: (323) 749-6951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E4125 California

Profile Details

NPI number 1265469084
LBN Legal business name Wach, Michael Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 23rd, 2021 - about 5 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 1265469084 NPPES
California MEDICAID 000E41250

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