# WILKES & SHANI MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shani Clinic Physical Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023314531
- **Authorized official:** DR. DONNELLY RICHARD WILKES (MEDICAL DOCTOR)
- **Authorized official phone:** (805) 494-9977

## Contact information

- **Practice address:** 2806 TOWNSGATE RD, SUITE B, WESTLAKE VILLAGE, CA 91361-3064
- **Practice address phone:** (805) 494-9977
- **Mailing address:** 2806 TOWNSGATE RD, SUITE B, WESTLAKE VILLAGE, CA 91361-3064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A85368 | CA | Yes |

## Other

- **Enumeration date:** 01/31/2011
- **Last updated:** 05/09/2012