# HEALTH ATLAST WEST LA

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

## Provider details

- **NPI number:** 1326584277
- **Authorized official:** WAYNE HIGASHI DC (OWNER)
- **Authorized official phone:** (310) 390-9018

## Contact information

- **Practice address:** 2428 SANTA MONICA BLVD STE 308, SANTA MONICA, CA 90404-2046
- **Practice address phone:** (310) 453-8393
- **Practice address fax:** (310) 453-8696
- **Mailing address:** 2428 SANTA MONICA BLVD STE 308, SANTA MONICA, CA 90404-2046
- **Mailing address phone:** (310) 453-8393
- **Mailing address fax:** (310) 453-8696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017