Individual
MR. DEM WESTLIE HECHANOVA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4289
Mailing address
1360 E BENNETT ST, COMPTON, CA 90221-5049
(310) 631-2133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19558
CA
Other
Enumeration date
02/06/2008
Last updated
08/04/2008
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