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Contact Information

WILSHIRE MULTI-SPECIALTY CLINIC
3540 WILSHIRE BLVD
STE: 1028
LOS ANGELES, CA90010-2307
 Phone: 213-388-3712
 Fax: 213-388-0734
 Website:
 

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
Indicates primary specialty

NPI Profile & details for WILSHIRE MULTI-SPECIALTY CLINIC

NPI # 1487987905
LBN Legal business name WILSHIRE MULTI-SPECIALTY CLINIC
Authorized official KUSUM RUDRAPPA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2009
Last updated 09/16/2009 - About 17 years ago
Identifiers
CA License # A37070
CA License # A54260
CA License # G36302
CA License # G87522
CA License # PSY12331
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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