Individual
DWIGHT ALAN WYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 540-7676
(310) 540-1485
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G51222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G512220
BLUE SHIELD
CA
05
—
00G512220
—
CA
Enumeration date
07/18/2006
Last updated
09/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us