Healthcare Provider Details

I. General information

NPI: 1912320698
Provider Name (Legal Business Name): WYNK'S CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 S SAN GABRIEL BLVD
SAN GABRIEL CA
91776-3930
US

IV. Provider business mailing address

1806 S SAN GABRIEL BLVD
SAN GABRIEL CA
91776-3930
US

V. Phone/Fax

Practice location:
  • Phone: 626-573-8441
  • Fax: 626-573-8643
Mailing address:
  • Phone: 626-573-8441
  • Fax: 626-573-8643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL CHIMING MA
Title or Position: PRESIDENT
Credential:
Phone: 626-573-8441