Individual
DR. JAMIE MARIA WIGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1260 15TH ST STE 1024, SANTA MONICA, CA 90404-1145
(424) 259-8570
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5138
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A195214
CA
208M00000X
Hospitalist Physician
Primary
A195214
CA
Other
Enumeration date
04/22/2021
Last updated
10/01/2024
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