Individual provider · Type 1 NPI
Michael Lynn Wach, D.P.M.
Primary Podiatric Medicine Podiatrist · Huntington Park, CA
NPI number
1265469084
Active
Practice location
3100 E Florence Ave Ste 4
Huntington Park, CA 90255-5848
Fax (323) 749-6951
Mailing address
3100 E Florence Ave, Ste 4
Huntington Park, CA 90255-5848
Other practice locations
- 604 E Hobsonway, Blythe, CA 92225-1739 · (760) 278-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E4125 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1265469084
Michael Lynn Wach, D.P.M.'s National Provider Identifier is 1265469084, issued on Jun 27, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Huntington Park, CA. The record was last updated on Feb 23, 2021.