Wendy Wiley is a Medical in Occidental, California. Wendy Wiley practices all healthcare services and medical treatments related to Medical. The NPI Number for Wendy Wiley is 1720192487. The last update date is 2015-06-25.
Wendy Wiley's current location address is 3802 Main St, Occidental, California. You can contact this provider via phone number 7078742444 and fax number 7078741664. The mailing address for Wendy Wiley is 3802 Main St, Occidental, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Wiley |
|---|---|
| Address | 3802 Main St, Occidental, California |
| Phone Number | 7078742444 |
| Fax Number | 7078741664 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1720192487 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2015-06-25 |
Provider Mailing Address Detail
| Address | 3802 Main St |
|---|---|
| City | Occidental |
| State | California (CA) |
| Post Code | 95465 |
| Phone Number | 7078742444 |
| Fax Number | 7078741664 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA11243 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA11243 | CA | STATE LICENSE NUMBER | |
| 1598768962 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wendy Wiley by the Centers for Medicare & Medicaid Services?
The Wendy Wiley has been issued the NPI (National Provider Identifier) 1720192487 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Wendy Wiley is geographically located?
The Wendy Wiley is physically situated at the following location: 3802 Main St, Occidental, CA, 95465.
What is the area of specialization for Wendy Wiley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wendy Wiley is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720192487 to Wendy Wiley?
The Wendy Wiley received its 1720192487 assignment from the Centers for Medicare & Medicaid Services on 2006-08-19.
When was the information related to Wendy Wiley most recently updated or refreshed?
The details pertaining to the Wendy Wiley, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-25.