Individual
DR. JOSE SPIWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 E IMPERIAL HWY, SUITE 502, LYNWOOD, CA 90262-2659
(562) 698-0271
(562) 698-7467
Mailing address
3680 E IMPERIAL HWY, SUITE 502, LYNWOOD, CA 90262-2659
(562) 698-0271
(562) 698-7467
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A32316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A323160
—
CA
01
—
W8687
MEDICARE GROUP PROVIDER
CA
01
—
W8687A
MEDICARE GROUP PROVIDER
CA
01
—
ZZZ80580Z
MEDICAID GROUP PROVIDER
CA
Enumeration date
07/03/2006
Last updated
08/05/2014
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