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Organization
WESTSIDE WILSHIRE MEDICAL GROUP
Active
Organization
WESTSIDE WILSHIRE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA GEYBER MD (OWNER)
(323) 556-3470
Entity
Organization
Contact information
Practice address
9249 BURTON WAY, 206, BEVERLY HILLS, CA 90210-3722
(323) 556-3470
Mailing address
9249 BURTON WAY, 206, BEVERLY HILLS, CA 90210-3722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A49805
STATE LICENSE NUMBER
CA
Enumeration date
01/21/2013
Last updated
01/21/2013
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