Individual
DONALD A WISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 S SAN VICENTE BLVD, SUITE 603, LOS ANGELES, CA 90048-4165
(310) 423-9975
(310) 423-9994
Mailing address
444 S SAN VICENTE BLVD, SUITE 603, LOS ANGELES, CA 90048-4165
(310) 423-9975
(310) 423-9994
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G30824
CA
Other
Enumeration date
07/17/2006
Last updated
09/25/2013
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