MEDICARE: DR. MICHAEL LYNN WACH D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	E4125	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265469084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LYNN WACH D.P.M.

Provider Business Mailing Address
First Line	:	3100 E FLORENCE AVE
Second Line	:	STE 4
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5848
Country	:	US
Telephone Number	:	323-749-6950
Fax Number	:	323-749-6951

Provider Business Practice Location Address
First Line	:	3100 E FLORENCE AVE STE 4
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5848
Country	:	US
Telephone Number	:	323-749-6950
Fax Number	:	323-749-6951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	02/23/2021

Similar Medicare Providers

1801897681 — DR. JOSE L RIVAS MD
Practice Location Address:

3100 E FLORENCE AVE , STE 7
HUNTINGTON PARK, CA
90255-5848

Practice Phone: 323-583-6361
Practice Fax: 323-583-2923

1407812399 — DR. ANTONIO NAVARRO ROMERO JR. M.D.
Practice Location Address:

3100 E FLORENCE AVE , STE #5
HUNTINGTON PARK, CA
90255-5848

Practice Phone: 323-581-0303
Practice Fax: 323-581-5819

1295832277 — DR. SHAHIRA SHAFIK ABDEL-MALEK MD
Practice Location Address:

3100 E FLORENCE AVE , #1
HUNTINGTON PARK, CA
90255-5848

Practice Phone: 323-583-4115
Practice Fax: 323-584-9089

1508088840 — SHAHIRA S ABDEL-MALEK,MD,INC.
Practice Location Address:

3100 E FLORENCE AVE , SUITE 1
HUNTINGTON PARK, CA
90255-5848

Practice Phone: 323-583-4115
Practice Fax: 323-585-8793

1104131242 — JOSE L. RIVAS, M.D., A PROFESSIONAL CORPORATION
Practice Location Address:

3100 E FLORENCE AVE , SUITE 7
HUNTINGTON PARK, CA
90255-5848

Practice Phone: 323-583-6361
Practice Fax: 323-583-2923

1598068868 — FIDEL SANTA-CRUZ M D A PROFESSIONAL CORPORATION
Practice Location Address:

3100 E FLORENCE AVE , SUITE 3
HUNTINGTON PARK, CA
90255-5848

Practice Phone: 323-588-3125
Practice Fax: 323-588-0919

Directions to “ DR. MICHAEL LYNN WACH D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.