Individual
DR. CHRISTOPHER EMMANUEL WISSAR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S SUNSET AVE, WEST COVINA, CA 91790-3342
(888) 099-9303
Mailing address
16979 S DENVER AVE, GARDENA, CA 90248-3011
(323) 684-4209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P20
CA
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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