Pacific West Coast Health Medical Therapy Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.

Practice address

11540 Santa Monica Blvd
201
Los Angeles, CA 90025-7905

Phone

(310) 428-8065

NPI assigned

Jun 14, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry Wiener, D.C.

Title

Designated Contact

Phone

(310) 428-8065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodney Daniel Collins, MD

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1700879061
  Medicare reassignment NPD
• Susan V Massey, A.N.P.

  • Nurse Practitioner
  • New York, NY
  • NPI 1962731240

  CA

  Medicare reassignment NPD
• Mary Beth Hughes, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Beverly Hills, CA
  • NPI 1962633180
  Medicare reassignment
• Laurence Wiener, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1164529426
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1093919615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WESTWOOD BLVD",
            "address_2": "#E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD",
            "address_2": "201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257905",
            "telephone_number": "310-428-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DESIGNATED CONTACT",
        "authorized_official_telephone_number": "310-428-8065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Sleep Medicine, a Medical Corporation
• Pacific Specialists Imaging Inc
• Pacific Surgical Care
• Pacific Vascucare Surgery Center
• Pacific Vascucare, Inc.
• Pacific West Counseling Center Inc (Wilshire Therapy Center)
• Pacific West Health Center
• Pacifica Foundation LLC.
• Pacifica Health Foundation
• Pacifica Health Medical Group PC

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.