Organization
WEHO MEDICAL SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GABASHVILI (CEO)
(424) 430-3014
Entity
Organization
Contact information
Practice address
8490 SANTA MONICA BLVD STE 2, WEST HOLLYWOOD, CA 90069-4261
(424) 430-3014
Mailing address
8490 SANTA MONICA BLVD STE 2, WEST HOLLYWOOD, CA 90069-4261
(424) 430-3014
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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