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General NPI Number Information
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NPI Number | 1629892237
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Entity Type | Organization
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Legal Business Name | WYNN MEDICAL CENTER PEDIATRICS-MEDICINE TORRANCE
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 3655 LOMITA BLVD STE 211
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City | TORRANCE
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State | CA
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Zip | 90505-1924
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Country | US
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Telephone | 310-406-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 3655 LOMITA BLVD STE 211
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City | TORRANCE
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State | CA
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Zip | 90505-1924
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Country | US
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Telephone | 310-406-3818
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | DR. HUYNH W TRAN
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Credential | MD
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Telephone | 626-573-9003
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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