Organization
L.WIENER C.ROSS MEDICAL CORP
Active
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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