# WEST LA MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124773502
- **Authorized official:** R'KIONE BRITTON (OWNER)
- **Authorized official phone:** (310) 427-7374

## Contact information

- **Practice address:** 11075 SANTA MONICA BLVD STE 175, LOS ANGELES, CA 90025-7567
- **Practice address phone:** (310) 427-7374
- **Mailing address:** 11075 SANTA MONICA BLVD STE 175, LOS ANGELES, CA 90025-7567

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 02/15/2022