# MWP MEDICAL CLINIC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538493044
- **Authorized official:** MR. MAREK PIATKOWSKI-NAZARRO PT (CEO)
- **Authorized official phone:** (626) 437-3986

## Contact information

- **Practice address:** 11755 VICTORY BLVD, SUITE 105, NORTH HOLLYWOOD, CA 91606-3423
- **Practice address phone:** (626) 437-3986
- **Mailing address:** 11755 VICTORY BLVD, SUITE 105, NORTH HOLLYWOOD, CA 91606-3423
- **Mailing address phone:** (626) 437-3986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A30385 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 10/22/2009