| NPI | 1972367217 |
|---|---|
| Doing Business As | WILSHIRE BLVD CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEREMY CHURCH Chief Financial Officer 323-442-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-08-05 |