| West La Medical & Skincare | |
|
11860 Wilshire Blvd Suite 201 Los Angeles CA 90025-6613 | |
| (310) 473-1734 | |
| Not Available |
| Full Name | West La Medical & Skincare |
|---|---|
| Speciality | Internal Medicine |
| Location | 11860 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | David P Melamed (PRESIDENT) |
| Authorized Official Contact | 3104731734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West La Medical & Skincare 11860 Wilshire Blvd Suite 201 Los Angeles CA 90025-6613 Ph: (310) 473-1734 | West La Medical & Skincare 11860 Wilshire Blvd Suite 201 Los Angeles CA 90025-6613 Ph: (310) 473-1734 |
| NPI Number | 1871732149 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A89541 (California) | Primary |
| 261QH0100X | Clinic/center - Health Service | A89541 (California) | Secondary |
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