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Organization
STACY LEIGH WANEKA MD PC
Active
Organization
STACY LEIGH WANEKA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY WANEKA MD (PRESIDENT)
(310) 270-3800
Entity
Organization
Contact information
Practice address
2475 TOWNSGATE RD STE 200, WESTLAKE VILLAGE, CA 91361-5995
(818) 338-2540
(818) 338-1498
Mailing address
5340 LAS VIRGENES RD APT 7, CALABASAS, CA 91302-2693
(310) 270-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
08/19/2024
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