Individual
TADEUSZ WELLISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
536 SOUTH RIMPAU BLVD, LOS ANGELES, CA 90020
(323) 934-4700
Mailing address
536 S. RIMPAU BLVD, LOS ANGELES, CA 90020
(323) 934-4700
(310) 815-2120
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G57179
CA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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