| Westside Primary Care, Inc. | |
|
2428 Santa Monica Blvd Ste 402 Santa Monica CA 90404-2047 | |
| (310) 449-4595 | |
| (310) 828-6635 |
| Full Name | Westside Primary Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2428 Santa Monica Blvd Ste 402, Santa Monica, California |
| Authorized Official Name and Position | Romana Haider (PRESIDENT) |
| Authorized Official Contact | 3108293385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Primary Care, Inc. 9613 Kirkside Rd Los Angeles CA 90035-4009 Ph: (310) 829-3385 | Westside Primary Care, Inc. 2428 Santa Monica Blvd Ste 402 Santa Monica CA 90404-2047 Ph: (310) 449-4595 |
| NPI Number | 1760567200 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760567200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A78716 (* (Not Available)) | Primary |
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