| San San Wai, M.d., A Medical Corporation | |
|
2211 W Magnolia Blvd Suite 230 Burbank CA 91506-1753 | |
| (818) 391-1028 | |
| (818) 391-1037 |
| Full Name | San San Wai, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2211 W Magnolia Blvd, Burbank, California |
| Authorized Official Name and Position | San San Wai (PRESIDENT) |
| Authorized Official Contact | 8183911028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San San Wai, M.d., A Medical Corporation 2211w Magnolia Blvd Suite 230 Burbank CA 91506-1762 Ph: (818) 391-1028 | San San Wai, M.d., A Medical Corporation 2211 W Magnolia Blvd Suite 230 Burbank CA 91506-1753 Ph: (818) 391-1028 |
| NPI Number | 1336251628 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284777954 |
|---|---|
| Medicare Enrollment ID | O20100203000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336251628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | San S Wai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245234996 PECOS PAC ID: 0749323418 Enrollment ID: I20100203000254 |
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