Phillip Wunder DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4967 Issued in CA

Legal business name

PHILLIP WUNDER DO INC

Practice address

414 S Prospectors Rd
Ste a
Diamond Bar, CA 91765-1615

Phone

(909) 860-8300

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Phillip WunderNPI 1336214766

Title

Owner

Phone

(909) 860-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Phillip A Wunder, D.O.

  • Internal Medicine Physician
  • Diamond Bar, CA
  • NPI 1336214766
  NPD (past) Authorized official

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1326285651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 GOLDEN SPRINGS DR",
            "address_2": "533",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652030",
            "telephone_number": "909-860-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD",
            "address_2": "STE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "909-860-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP WUNDER DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "WUNDER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-860-8300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peppertree Multispecialty Medical Group, Inc.
• Oscar Perez, LCSW
• Nancy Minh Pham, PHARMD
• Warren Phan
• Rhea Philip
• Physicians Healthways Medical Corporation
• David Picella, PHD, FNP, GS-C, CPG
• Pin Shen Health Inc
• Pin Shen Health Inc
• Pinnacle Home Health Care Inc

• Family Medicine Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.