Organization
L.WIENER C.ROSS MEDICAL CORP
Active
Other names
Pacific West Heath Medical associates inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE WIENER D.C. (CEO)
(310) 428-8065
Entity
Organization
Contact information
Practice address
11540 SANTA MONICA BL., #203, LOS ANGELES, CA 90025-7905
(310) 914-7600
Mailing address
11540 SANTA MONICA BL. #203, LOS ANGELES, CA 90025-7905
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
FNP30417
CA
Other
Enumeration date
09/25/2006
Last updated
03/19/2019
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