Lewis Wyatt Jr. M.D. Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

00C320300 Issued in CA

Legal business name

LEWIS WYATT JR. M.D. INC.

Practice address

99 N la Cienega Blvd
Beverly Hills, CA 90211-2222

Phone

(310) 360-7430

Fax

(310) 360-7430

NPI assigned

Dec 22, 2017

Last updated

Jun 16, 2018By 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. Lewis Wyatt Jr., MD

Title

President

Phone

(310) 360-7430

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174039333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 WESTRIDGE RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491805",
            "telephone_number": "310-360-7430",
            "fax_number": "310-360-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-360-7430",
            "fax_number": "310-360-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS WYATT JR. M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WYATT JR.",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-360-7430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00C320300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FSW794A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14078963127",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FS794A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Levy
• Rosette Levy, PHARMACIST
• Ian Lewerenz, MA
• Daniele Lewin
• Stephen M Lewinson, DPM
• Lewis Wyatt Jr. M.D. Inc.
• Andrew Meyer Lewis, DDS
• Charmian Lewis, M.D.
• Cheri J Lewis, D.D.S.
• Eric Alden Lewis, M.D.

• Obstetrics & Gynecology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.