Individual provider · Type 1 NPI

Gina L. Wilvang, D.P.M.

Primary Podiatric Medicine Podiatrist · Artesia, CA

NPI number 1407986995 Active

Practice location

18300 Gridley Rd, Suite 203
Artesia, CA 90701-5440

Fax (562) 809-7219

Mailing address

PO Box 111
Artesia, CA 90702-0111

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101XE4393 (CA)

Primary Podiatric Medicine Podiatrist: Definition to come...

5 other providers at this address

About NPI 1407986995

Gina L. Wilvang, D.P.M.'s National Provider Identifier is 1407986995, issued on Mar 6, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Artesia, CA. The record was last updated on Jul 8, 2007.