Wynn Medical Center Pediatrics-Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WYNN MEDICAL CENTER PEDIATRICS-MEDICINE

Doing business as

WMC Pediatrics Internal Medicine

Practice address

401 N Garfield Ave Ste 203
Monterey Park, CA 91754-1207

Phone

(626) 573-9003

Fax

(626) 573-0641

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Huynh Tran, MDNPI 1649566571

Title

President/Ceo

Phone

(626) 573-9003

Specialties & licenses 2

Addresses

Other names 1

• WMC Pediatrics Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• San T Nguyen, MD

  • Specialist
  • Alhambra, CA
  • NPI 1194738849
  Medicare reassignment NPD
• Christine Nguyen, PA

  • Physician Assistant
  • Henderson, NV
  • NPI 1215899950

  CA

  Medicare reassignment
• Huynh Tran, MD, DPD

  • Rheumatology Physician
  • Rosemead, CA
  • NPI 1649566571

  Internal Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1275382392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N GARFIELD AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541207",
            "telephone_number": "626-573-9003",
            "fax_number": "626-573-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N GARFIELD AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541207",
            "telephone_number": "626-573-9003",
            "fax_number": "626-573-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN MEDICAL CENTER PEDIATRICS-MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HUYNH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-573-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WMC Pediatrics Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Han Wu, M.D.
• Li-Chih Wu, MD
• Suyen Wu
• Wendy H Wu, D.P.M.
• Xinyang Wu
• X Elsie Lin Medical Corporation
• Zhao Liang Xian, LAC
• Si Quan Xiao, OMD
• Diana Xie, PHARM.D.
• Warren J Xie

• Pediatrics Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.