Organization
WEST WILSHIRE FAMILY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXANDRA DIVINSKY NP (OWNER)
(213) 864-8500
Entity
Organization
Contact information
Practice address
11600 WILSHIRE BLVD, SUITE 416, LOS ANGELES, CA 90025-5781
(310) 477-7201
(310) 575-0973
Mailing address
PO BOX 64455, LOS ANGELES, CA 90064-0455
(213) 864-8500
(310) 575-0973
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
NP15115
CA
Other
Enumeration date
01/30/2015
Last updated
03/28/2023
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