WILSHIRE MULTI-SPECIALTY CLINIC

LOS ANGELES, CA
NPI1487987905
Entity TypeOrganization
Authorized ContactKUSUM RUDRAPPA
Medical Director
213-388-3712
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: CA  A37070)
Additional Taxonomies152W00000X Optometrist
(Licence: CA  G87522)
207QS1201X Family Medicine, Sleep Medicine
207RS0010X Internal Medicine, Sports Medicine
(Licence: CA  A37070)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: CA  A54260)
207Y00000X Otolaryngology
(Licence: CA  G36302)
2084P2900X Psychiatry & Neurology, Pain Medicine
(Licence: CA  PSY12331)
Enumeration Date2009-09-16
Last Update Date2009-09-16
Business Address
WILSHIRE MULTI-SPECIALTY CLINIC
3540 WILSHIRE BLVD STE: 1028
LOS ANGELES, CA 90010-2307
Phone number: 213-388-3712
Mailing Address
WILSHIRE MULTI-SPECIALTY CLINIC
3540 WILSHIRE BLVD STE: 1028
LOS ANGELES, CA 90010-2307
Phone number: 213-388-3712