Provider Demographics
NPI:1114548823
Name:WINT HUN INC
Entity Type:Organization
Organization Name:WINT HUN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:WINT
Authorized Official - Middle Name:THU
Authorized Official - Last Name:HUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-662-8087
Mailing Address - Street 1:607 FOOTHILL BLVD # 405
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3402
Mailing Address - Country:US
Mailing Address - Phone:626-662-8087
Mailing Address - Fax:308-872-7175
Practice Address - Street 1:1509 WILSON TER
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4007
Practice Address - Country:US
Practice Address - Phone:266-628-0876
Practice Address - Fax:308-872-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty