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Organization
WESTSIDE MULTI-SPECIALTY MEDICAL GROUP, INC.
Active
Organization
WESTSIDE MULTI-SPECIALTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOUSANNA LACHTCHOUK NP (OFFICER)
(323) 933-7200
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1212, LOS ANGELES, CA 90048-5801
(323) 933-7200
Mailing address
6200 WILSHIRE BLVD, SUITE 1212, LOS ANGELES, CA 90048-5801
(323) 933-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FNP34645
CA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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