Organization
AMY G WANDEL MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY GERRIT WANDEL M.D. (PRESIDENT/CEO)
(619) 301-4155
Entity
Organization
Contact information
Practice address
2345 E 8TH ST, SUITE 101, NATIONAL CITY, CA 91950-2800
(619) 475-3000
(619) 475-1566
Mailing address
2345 E 8TH ST, SUITE 101, NATIONAL CITY, CA 91950-2800
(619) 475-3000
(619) 475-1566
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G52862
CA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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