Organization
WESTSIDE PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMANA HAIDER (M.D.)
(310) 829-3385
Entity
Organization
Contact information
Practice address
2428 SANTA MONICA BLVD, SANTA MONICA, CA 90404
(310) 829-3385
(310) 828-6635
Mailing address
9613 KIRKSIDE ROAD, LA, CA 90035
(310) 838-8842
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A78716
CA
Other
Enumeration date
09/21/2006
Last updated
05/19/2015
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