JOHN MICHAEL WAITE, PHYSICIAN ASSISTANT, INC.

SANTA MONICA, CA
NPI1992114730
Entity TypeOrganization
Authorized ContactJOHN MICHAEL WAITE
President
310-968-3123
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  56135)
Enumeration Date2014-08-06
Last Update Date2014-08-06
Business Address
JOHN MICHAEL WAITE, PHYSICIAN ASSISTANT, INC.
3325 17TH ST
SANTA MONICA, CA 90405-5832
Phone number: 310-968-3123
Mailing Address
JOHN MICHAEL WAITE, PHYSICIAN ASSISTANT, INC.
3325 17TH ST
SANTA MONICA, CA 90405-5832
Phone number: