NPI 1003844200

Timothy J Wolf, CRNA

Practitioner Certified Registered Nurse Anesthetist West Covina, CA

Practice location

Address: 725 S Orange Ave, West Covina, CA 91790-2614
Phone: (909) 946-5752
Fax: (909) 985-3858
Mailing address: 220 W 21st St, Upland, CA 91784-1412

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence NA061 (CA)

Other Nurse Anesthetist, Certified Registered providers in California →

Registry record

NPI: 1003844200
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.