Provider Demographics
NPI:1831329739
Name:LUNNY, AHN & WONG MDS
Entity type:Organization
Organization Name:LUNNY, AHN & WONG MDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLISLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-745-8187
Mailing Address - Street 1:1999 MOWRY AVE
Mailing Address - Street 2:SUITE R
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1723
Mailing Address - Country:US
Mailing Address - Phone:510-745-8187
Mailing Address - Fax:510-795-8008
Practice Address - Street 1:1999 MOWRY AVE
Practice Address - Street 2:SUITE R
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1723
Practice Address - Country:US
Practice Address - Phone:510-745-8186
Practice Address - Fax:510-745-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-26
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty