| Johnny H. Wen, Phd Psychology Corporation | |
|
3858 W Carson St Ste 121 Torrance CA 90503-6705 | |
| (310) 540-4094 | |
| (424) 201-5707 |
| Full Name | Johnny H. Wen, Phd Psychology Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3858 W Carson St Ste 121, Torrance, California |
| Authorized Official Name and Position | Johnny H Wen (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3105404094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny H. Wen, Phd Psychology Corporation 3858 W Carson St Ste 121 Torrance CA 90503-6705 Ph: (310) 540-4094 | Johnny H. Wen, Phd Psychology Corporation 3858 W Carson St Ste 121 Torrance CA 90503-6705 Ph: (310) 540-4094 |
| NPI Number | 1679627483 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 4284732843 |
|---|---|
| Medicare Enrollment ID | O20070605000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679627483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY20796 (California) | Primary |
| Provider Name | Johnny H Wen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427001254 PECOS PAC ID: 4789696238 Enrollment ID: I20060626000353 |
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