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Individual
ALAN C. WESTEREN
Active
Individual
ALAN C. WESTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G79738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G797380
—
CA
01
—
11179547
CAQH PROVIDER ID#
CA
01
—
G79738
CA STATE MEDICAL LICENSE#
CA
01
—
MD-072371-L
PA STATE MEDICAL LICENSE#
PA
Enumeration date
08/31/2006
Last updated
10/21/2009
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