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Individual

DR. SEAN CONOR WIGHTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033-5331
(323) 442-9062
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-9062

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125058085
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A147815
CA

Other

Enumeration date
08/12/2011
Last updated
11/27/2023
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