Organization
WILSHIRE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTIS WOODWARD M.D. (MEDICAL DIRECTOR)
(213) 387-8402
Entity
Organization
Contact information
Practice address
3540 WILSHIRE BLVD, SUITE: 1014, LOS ANGELES, CA 90010-2307
(213) 387-8024
(213) 387-8916
Mailing address
3540 WILSHIRE BLVD, SUITE: 1014, LOS ANGELES, CA 90010-2307
(213) 387-8024
(213) 387-8916
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
A102066
CA
207L00000X
Anesthesiology Physician
A40408
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
A10037
CA
207Y00000X
Otolaryngology Physician
G36302
CA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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