| NPI | 1366543290 |
|---|---|
| Doing Business As | PACIFIC WEST HEATH MEDICAL ASSOCIATES INC. |
| Entity Type | Organization |
| Authorized Contact | LAURENCE WIENER CEO 310-428-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA fnp30417) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-03-19 |