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Organization
PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.
Active
Organization
PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WIENER D.C. (DESIGNATED CONTACT)
(310) 428-8065
Entity
Organization
Contact information
Practice address
11540 SANTA MONICA BLVD, 201, LOS ANGELES, CA 90025-7905
(310) 428-8065
Mailing address
1441 WESTWOOD BLVD, #E, LOS ANGELES, CA 90024-4938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
10/22/2007
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