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Organization
TINA W MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
TINA W MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WU MD (OWNER)
(917) 674-1904
Entity
Organization
Contact information
Practice address
1812 11TH ST, MANHATTAN BEACH, CA 90266-6212
(917) 674-1904
Mailing address
425 15TH ST UNIT 3142, MANHATTAN BEACH, CA 90266-7311
(917) 674-1904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
12/02/2022
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