Individual
MR. WESLEY GRETAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4650 W SUNSET BLVD, MS #69, LOS ANGELES, CA 90027-6062
(323) 361-6005
Mailing address
4650 W SUNSET BLVD, MS# 69, LOS ANGELES, CA 90027-6062
(323) 361-6005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/06/2017
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