| One West Medical Group, A Professional Corporation | |
|
14860 Roscoe Blvd Ste 200 Panorama City CA 91402-4683 | |
| (310) 553-5203 | |
| (310) 652-0933 |
| Full Name | One West Medical Group, A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 14860 Roscoe Blvd Ste 200, Panorama City, California |
| Authorized Official Name and Position | Ashley Alfred Wool-smith (MANAGER) |
| Authorized Official Contact | 3105535203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One West Medical Group, A Professional Corporation Po Box 894874 Los Angeles CA 90189-4874 Ph: (310) 553-5203 | One West Medical Group, A Professional Corporation 14860 Roscoe Blvd Ste 200 Panorama City CA 91402-4683 Ph: (310) 553-5203 |
| NPI Number | 1548650732 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548650732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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