Dr. Michael Lynn Wach
Primary Podiatric Medicine
3100 E Florence Ave Ste 4
Huntington Park
, California 90255-5848
Dr. Michael Lynn Wach
Primary Podiatric Medicine
3100 E Florence Ave Ste 4
Huntington Park
, California 90255-5848
(323) 749-6951
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Lynn Wach
- 3100 E Florence Ave Ste 4
- Huntington Park, CA
- Zip : 90255-5848
- Fax : (323) 749-6951
- Phone : (323) 749-6950
Second Address
- Dr. Michael Lynn Wach
- 3100 E Florence Ave Ste 4
- Huntington Park, CA
- Zip : 90255-5848
- Fax : (323) 749-6951
- Phone : (323) 749-6950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | E4125 | CA |
National Provider Identifier
| NPI | 1265469084 |
|---|---|
| Provider Name | Dr. Michael Lynn Wach |
| First Address | Huntington Park, CA 90255-5848 |
| Second Address | Huntington Park, CA 90255-5848 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 23/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E41250 | (05) | CA |
| U73184 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.