Search › California › 363LA2100X
Ivana Wynn
NPI 1497275390 · on the registry since 2017 · sole proprietor
Practice
- Address
- 385 S Manchester Ave Unit 1110
Orange, CA 92868 - Phone
- (562) 743-2451
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California