Wilshire Multi-specialty Clinic is a
General Practice based in Los Angeles, California. Wilshire Multi-specialty Clinic is licensed to practice in California (license number A37070) and their current practice location is
3540 Wilshire Blvd, Ste: 1028, Los Angeles, California. It can be reached at their office (for appointments etc.) via phone at
(213) 388-3712.
NPI number for Wilshire Multi-specialty Clinic is 1487987905 and their current mailing address is 3540 Wilshire Blvd, Ste: 1028, Los Angeles, California. Wilshire Multi-specialty Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1487987905.
Healthcare Provider's Profile
| Full Name | Wilshire Multi-specialty Clinic |
|---|
| Type | Facility |
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| Speciality | General Practice |
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| Location | 3540 Wilshire Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487987905
- Provider Enumeration Date: 09/16/2009
- Last Update Date: 09/16/2009
Medical Identifiers
Medical identifiers for Wilshire Multi-specialty Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487987905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | G87522 (California) | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | (* (Not Available)) | Secondary |
| 207RS0010X | Internal Medicine - Sports Medicine | A37070 (California) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | A54260 (California) | Secondary |
| 207Y00000X | Otolaryngology | G36302 (California) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | PSY12331 (California) | Secondary |
| 208D00000X | General Practice | A37070 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wilshire Multi-specialty Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wilshire Multi-specialty Clinic
3540 Wilshire Blvd, Ste: 1028,
Los Angeles, CA 90010-2307
Ph: (213) 388-3712 | Wilshire Multi-specialty Clinic
3540 Wilshire Blvd, Ste: 1028,
Los Angeles, CA 90010-2307
Ph: (213) 388-3712 |
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