Brydon Thomas Wanner, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Brydon Thomas Wanner is licensed to practice in * (Not Available) (license number ) and his current practice location is
1355 S Hill St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 389-5820.
NPI number for Brydon Thomas Wanner is 1275267932 and his current mailing address is 1355 S Hill St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275267932.
Healthcare Provider's Profile
| Full Name | Brydon Thomas Wanner |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1355 S Hill St, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275267932
- Provider Enumeration Date: 07/10/2022
- Last Update Date: 07/10/2022
Medical Identifiers
Medical identifiers for Brydon Thomas Wanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275267932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brydon Thomas Wanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brydon Thomas Wanner,
1355 S Hill St,
Los Angeles, CA 90015-3012
Ph: (213) 389-5820 | Brydon Thomas Wanner,
1355 S Hill St,
Los Angeles, CA 90015-3012
Ph: (213) 389-5820 |
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