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NPI Profile for WILSHIRE MULTI SPECIALTY CLINIC in LOS ANGELES, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Optometrist |
152W00000X | 41 | Optometry | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Pain Medicine |
2084P2900X | 86 | Physician/Neuropsychiatry | |
Sleep Medicine |
207QS1201X | 08 | Physician/Family Practice | |
Sleep Medicine |
207RS0012X | 11 | Physician/Internal Medicine | |
Sports Medicine |
207RS0010X | 11 | Physician/Internal Medicine |
| NPI # | 1487987905 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/16/2009 | |
| Last updated | 09/16/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WILSHIRE MULTI-SPECIALTY CLINIC
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WILSHIRE MULTI-SPECIALTY CLINIC