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Organization
LEWIS WYATT JR. M.D. INC.
Active
Organization
LEWIS WYATT JR. M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS WYATT JR. MD (PRESIDENT)
(310) 360-7430
Entity
Organization
Contact information
Practice address
99 N LA CIENEGA BLVD, BEVERLY HILLS, CA 90211-2222
(310) 360-7430
(310) 360-7430
Mailing address
2061 WESTRIDGE RD, LOS ANGELES, CA 90049-1805
(310) 360-7430
(310) 360-7435
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00C320300
CA
Other
Enumeration date
12/22/2017
Last updated
06/16/2018
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