A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | General Practice | 208D00000X |
| Family | 363LF0000X | |
| Family Medicine | 207Q00000X | |
| Physical Therapist | 225100000X | |
| Rehabilitation | 111NR0400X |
* Indicates primary specialty
| NPI Number | 1982249496 |
| Legal business name LBN |
WESTRIDGE MEDICAL GROUP LLC |
| Authorized official | ELLIE DESCALZO - (CREDENTIALING OFFICER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 11/08/2019 |
| Last updated | 08/19/2021 - About 5 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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