Organization
JOSHUA M WIEDER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA M WIEDER M.D. (CEO/DIRECTOR)
(310) 209-1440
Entity
Organization
Contact information
Practice address
12301 WILSHIRE BLVD, SUITE 201, LOS ANGELES, CA 90025-1007
(310) 207-8900
(310) 207-8912
Mailing address
12301 WILSHIRE BLVD, SUITE 201, LOS ANGELES, CA 90025-1007
(310) 207-8900
(310) 207-8912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G70745
CA
Other
Enumeration date
12/13/2010
Last updated
05/24/2011
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