Phillip A Wunder, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A4967 Issued in CA

Practice address

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

Phone

(909) 860-8300

Fax

(909) 861-4090

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phillip Wunder DO Inc

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1326285651
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1336214766",
    "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",
            "fax_number": "909-861-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD",
            "address_2": "SUITE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "909-860-8300",
            "fax_number": "909-861-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Wu
• Hung Yi Wu
• Pei-CHI Wu, D.O.
• Tony Wu, PH.D., ABPP
• Wenshuo Wu, DACM, MSAOM, L.AC
• Sonia Wurtenberger
• Wenny Renhui Xiao, L.AC.
• Eliza Hisako Yamamoto, OTR/L
• Lynn F. Y. Yamamoto, M.S., M.F.T.
• Jenchen Yang, M.D., PH.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.