Wilshire Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

24261 Issued in CA

Legal business name

WILSHIRE WELLNESS CENTER

Practice address

6300 Wilshire Blvd
Suite 160
Los Angeles, CA 90048-5204

Phone

(310) 855-9100

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Shahin Shaw

Title

Administrator

Phone

(310) 855-9100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1255659611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD",
            "address_2": "SUITE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485204",
            "telephone_number": "310-855-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD",
            "address_2": "SUITE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485204",
            "telephone_number": "310-855-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-855-9100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilshire Sleep Treatment Center, LLC
• Wilshire Treatment Center, Inc
• Wilshire Treatment Center, Inc.
• Wilshire Valley Therapy Center
• Wilshire Vista Manor
• Wilshire Wellness, Inc
• Wilshire West Dental GRP.
• Wilshire Westgate Dental, Inc.
• Wilshire Westgate Pharmacy
• Wilson C Park Chiropractic Corp

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.