Healthcare Provider Details

I. General information

NPI: 1881932853
Provider Name (Legal Business Name): WYLE RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 WARNER AVE STE 200
FOUNTAIN VALLEY CA
92708-3212
US

IV. Provider business mailing address

8700 WARNER AVE STE 200
FOUNTAIN VALLEY CA
92708-3212
US

V. Phone/Fax

Practice location:
  • Phone: 714-847-3322
  • Fax: 714-847-3993
Mailing address:
  • Phone: 714-847-3322
  • Fax: 714-847-3993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. SYLVIA YOUSSEF
Title or Position: OFFICIER
Credential:
Phone: 714-847-3322