Westside Multi-specialty Medical Group, Inc.

NPI 1083879324 - Family Medicine - 207Q00000X

NPI Details
NPI 1083879324
Enumeration Date 07/25/2008
Last Updated 07/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SOUSANNA SOUSANNA
Position OFFICER
Phone (323) 933-7200
Fax
Practice Location
6200 WILSHIRE BLVD
SUITE 1212
LOS ANGELES CA, 90048-5801, US
Phone (323) 933-7200
Fax
Business Location
6200 WILSHIRE BLVD
SUITE 1212
LOS ANGELES CA, 90048-5801, US
Phone (323) 933-7200
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number FNP34645
Remove 1083879324 NPI Number
 

According to our database, Westside Multi-specialty Medical Group, Inc. NPI is 1083879324, taxonomy code is 207Q00000X and license number is FNP34645, license state is located at California. Westside Multi-specialty Medical Group, Inc. physically located at 6200 Wilshire Blvd, Los Angeles CA, 90048-5801. NPI Number 1033115704 has the healthcare provider type.

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1083879324 NPI number is provided on an as is basis without warranty of any kind. 1083879324 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Multi-specialty Medical Group, Inc. are for informational purposes only.