# WESTLAKE MEDICAL MANAGEMENT INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Westlake Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366478992
- **Authorized official:** MRS. DIANA BLUMKIN (PRESIDENT)
- **Authorized official phone:** (213) 383-4262

## Contact information

- **Practice address:** 529 S ALVARADO ST, LOS ANGELES, CA 90057-2903
- **Practice address phone:** (213) 383-4262
- **Practice address fax:** (213) 383-4263
- **Mailing address:** 529 S ALVARADO ST, LOS ANGELES, CA 90057-2903
- **Mailing address phone:** (213) 383-4262
- **Mailing address fax:** (213) 383-4263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | 3892040001 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 10/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY55804 | CA STATE BOARD OF PHARMACY | CA |