Individual
WINFIELD J WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, SUITUE 4300, LOS ANGELES, CA 90033-5330
(323) 442-6245
(323) 442-5956
Mailing address
1520 SAN PABLO ST, SUITUE 4300, LOS ANGELES, CA 90033-5330
(323) 442-6245
(323) 442-5956
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G31277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G312770
BLUE SHIELD PIN
CA
05
—
00G312770
—
CA
01
—
00G312770F94
CAL OPTIMA NUMBER
CA
01
—
060055833
MEDICARE RAILROAD PIN
CA
Enumeration date
07/19/2006
Last updated
11/26/2013
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