# HEALTH ATLAST WEST LA

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

## Provider details

- **NPI number:** 1548658966
- **Authorized official:** WAYNE HIGASHI (PRESIDENT)
- **Authorized official phone:** 31039090108

## Contact information

- **Practice address:** 14417 BURBANK BLVD, SHERMAN OAKS, CA 91401-4824
- **Practice address phone:** (818) 786-5985
- **Mailing address:** 3030 SAWTELLE BLVD, LOS ANGELES, CA 90066-1408
- **Mailing address phone:** (310) 390-9018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 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:** 01/07/2015
- **Last updated:** 01/07/2015