| Pacific West Heath Medical Associates Inc. | |
|
11540 Santa Monica Bl. #203 Los Angeles CA 90025-7905 | |
| (310) 914-7600 | |
| Not Available |
| Full Name | Pacific West Heath Medical Associates Inc. |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 11540 Santa Monica Bl., Los Angeles, California |
| Authorized Official Name and Position | Laurence Wiener (CEO) |
| Authorized Official Contact | 3104288065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific West Heath Medical Associates Inc. 11540 Santa Monica Bl. #203 Los Angeles CA 90025-7905 Ph: () - | Pacific West Heath Medical Associates Inc. 11540 Santa Monica Bl. #203 Los Angeles CA 90025-7905 Ph: (310) 914-7600 |
| NPI Number | 1366543290 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366543290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | FNP30417 (California) | Primary |
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