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General NPI Number Information
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NPI Number | 1578724639
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Entity Type | Individual
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Provider Name | AIMEE WING M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2008
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 300 HILLMONT AVE STE 401
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City | VENTURA
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State | CA
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Zip | 93003-1651
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Country | US
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Telephone | 805-648-9830
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT 351
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 901-758-9900
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Fax | 901-752-2335
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD458489
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD038974
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 55951
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 55951
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A109399
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License Number State | CA
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