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Organization
WILSHIRE WELLNESS, INC
Active
Organization
WILSHIRE WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIN SHAW (ADMINISTRATOR)
(310) 855-9100
Entity
Organization
Contact information
Practice address
6300 WILSHIRE BLVD, 160, LOS ANGELES, CA 90048-5204
(310) 855-9100
(323) 966-5803
Mailing address
6300 WILSHIRE BLVD, 160, LOS ANGELES, CA 90048-5204
(310) 855-9100
(323) 966-5803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30229
CA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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