# ZDZISLAUS J. WANSKI, M.D.

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

## Provider details

- **NPI number:** 1689879587
- **Authorized official:** MRS. ALMA R. PAZ (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (213) 745-6047

## Contact information

- **Practice address:** 1414 S GRAND AVE, SUITE 456, LOS ANGELES, CA 90015-3067
- **Practice address phone:** (213) 745-6047
- **Practice address fax:** (213) 748-9715
- **Mailing address:** 1414 S GRAND AVE, SUITE 456, LOS ANGELES, CA 90015-3067
- **Mailing address phone:** (213) 745-6047
- **Mailing address fax:** (213) 748-9715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20A41629 | CA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | G36872 | CA | Yes |
| 363A00000X | Physician Assistant | PA18399 | CA | — |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 10/09/2007