| Lori J. Wynstock, M.d. | |
|
50 Bellefontaine St #203 Pasadena CA 91105-3132 | |
| (626) 793-6113 | |
| (626) 793-8013 |
| Full Name | Lori J. Wynstock, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Bellefontaine St, Pasadena, California |
| Authorized Official Name and Position | Lori J. Wynstock (PRESIDENT) |
| Authorized Official Contact | 6267936113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J. Wynstock, M.d. Po Box 1430 Monrovia CA 91017-1430 Ph: (626) 256-6010 | Lori J. Wynstock, M.d. 50 Bellefontaine St #203 Pasadena CA 91105-3132 Ph: (626) 793-6113 |
| NPI Number | 1053337923 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053337923 | NPI | - | NPPES |
| P00069309 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63397 (California) | Primary |
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