Organization
ZDZISLAUS J. WANSKI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALMA R. PAZ (ADMINISTRATIVE ASSISTANT)
(213) 745-6047
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE, SUITE 456, LOS ANGELES, CA 90015-3067
(213) 745-6047
(213) 748-9715
Mailing address
1414 S GRAND AVE, SUITE 456, LOS ANGELES, CA 90015-3067
(213) 745-6047
(213) 748-9715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A41629
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G36872
CA
363A00000X
Physician Assistant
PA18399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083400
—
CA
Enumeration date
06/19/2007
Last updated
10/09/2007
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