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Organization
WEST LA MS INC.
Active
Organization
WEST LA MS INC.
Active
Other names
West LA Medical & Skincare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P MELAMED M.D. (PRESIDENT)
(310) 473-1734
Entity
Organization
Contact information
Practice address
11860 WILSHIRE BLVD, SUITE 201, LOS ANGELES, CA 90025-6613
(310) 473-1734
Mailing address
11860 WILSHIRE BLVD, SUITE 201, LOS ANGELES, CA 90025-6613
(310) 473-1734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89541
CA
261QH0100X
Health Service Clinic/Center
A89541
CA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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