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Organization
HEALTH ATLAST WEST LA
Active
Organization
HEALTH ATLAST WEST LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE HIGASHI DC (OWNER)
(310) 390-9018
Entity
Organization
Contact information
Practice address
2428 SANTA MONICA BLVD STE 308, SANTA MONICA, CA 90404-2046
(310) 453-8393
(310) 453-8696
Mailing address
2428 SANTA MONICA BLVD STE 308, SANTA MONICA, CA 90404-2046
(310) 453-8393
(310) 453-8696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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