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Organization
WESTSIDE INTERNAL MEDICINE
Active
Organization
WESTSIDE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNIE PRUDENTE MD (PARTNER)
(310) 829-7762
Entity
Organization
Contact information
Practice address
2121 WILSHIRE BLVD, # 304, SANTA MONICA, CA 90403
(310) 264-0065
(310) 829-0765
Mailing address
2121 WILSHIRE BLVD STE 304, SANTA MONICA, CA 90403-5743
(310) 264-0065
(310) 829-0765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
08/02/2006
Last updated
11/26/2025
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