# LOU WESTPHAL, MD, PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1831404045
- **Authorized official:** DR. LOUETTA KANNENBERG WESTPHAL M.D. (PRESIDENT)
- **Authorized official phone:** (310) 461-3574

## Contact information

- **Practice address:** 9107 WILSHIRE BLVD, SUITE 450, BEVERLY HILLS, CA 90210-5531
- **Practice address phone:** (310) 409-8975
- **Mailing address:** 9107 WILSHIRE BLVD, SUITE 450, BEVERLY HILLS, CA 90210-5531
- **Mailing address phone:** (310) 409-8975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G43635 | CA | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 08/11/2010