Westside Medical Evaluators

NPI 1548666308 - Internal Medicine - 207R00000X

NPI Details
NPI 1548666308
Enumeration Date 11/06/2014
Last Updated 11/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name FREDERICK FREDERICK
Position PRESIDENT
Phone (310) 919-6811
Fax (310) 356-3203
Practice Location
400 CONTINENTAL BLVD
STE 600
EL SEGUNDO CA, 90245-5076, US
Phone (310) 919-6811
Fax (310) 356-3203
Business Location
15332 ANTIOCH ST STE 820
SUITE: 820
PACIFIC PALISADES CA, 90272-3628, US
Phone (310) 919-6811
Fax (310) 356-3203
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A73853
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According to our database, Westside Medical Evaluators NPI is 1548666308, taxonomy code is 207R00000X and license number is A73853, license state is located at California. Westside Medical Evaluators physically located at 400 Continental Blvd, El Segundo CA, 90245-5076. NPI Number 1033115704 has the healthcare provider type.

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1548666308 NPI number is provided on an as is basis without warranty of any kind. 1548666308 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Medical Evaluators are for informational purposes only.