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Organization
WYNN MEDICAL CENTER NEPHROLOGY
Active
Organization
WYNN MEDICAL CENTER NEPHROLOGY
Active
Other names
wynn medical center nephrology internal medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUYNH TRAN MD, FACP (PRESIDENT/CEO)
(616) 990-0782
Entity
Organization
Contact information
Practice address
9120 VALLEY BLVD, ROSEMEAD, CA 91770-1920
(626) 316-8169
Mailing address
9120 VALLEY BLVD, ROSEMEAD, CA 91770-1920
(626) 316-8169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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