Search › California › 152W00000X
Anthony Vande Wydeven, OD
NPI 1861413304 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10522 Venice Blvd
Culver City, CA 90232 - Phone
- (310) 838-0521
- Fax
- (310) 839-6201
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
152WP0200X
152WS0006X
152WX0102X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-15
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