Organization
WILKES & SHANI MEDICAL PC
Active
Other names
Shani Clinic Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNELLY RICHARD WILKES (MEDICAL DOCTOR)
(805) 494-9977
Entity
Organization
Contact information
Practice address
2806 TOWNSGATE RD, SUITE B, WESTLAKE VILLAGE, CA 91361-3064
(805) 494-9977
Mailing address
2806 TOWNSGATE RD, SUITE B, WESTLAKE VILLAGE, CA 91361-3064
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A85368
CA
Other
Enumeration date
01/31/2011
Last updated
05/09/2012
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