Organization
WILKES & SHANI MEDICAL, P.C
Active
Parent organization
WILKES & SHANI MEDICAL, P.C
Other names
Shani Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES & SHANI MEDICAL, P.C
Authorized official
DR. DONNELLY R. WILKES MD (MEDICAL DIRECTOR)
(805) 499-4446
Entity
Organization
Contact information
Practice address
400 S REINO RD, SUITE 200, NEWBURY PARK, CA 91320-4284
(805) 499-4446
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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