NPIMap

Organization Active NPI

Wilshire Aesthetics Medical Associates, Inc.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1427315977
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G65423 Issued in CA
Legal business name
WILSHIRE AESTHETICS MEDICAL ASSOCIATES, INC.
Practice address
5757 Wilshire Blvd
Promenade 2
Los Angeles, CA 90036-5810
Phone
(323) 936-1245
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Harvey L Abrams, M.D.
Title
Owner/Ceo
Phone
(323) 936-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G65423 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd
Promenade 2
Los Angeles, CA 90036-5810

Mailing address

5757 Wilshire Blvd
Promenade 2
Los Angeles, CA 90036-5810
Phone (323) 936-1245

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1427315977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "PROMENADE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "323-936-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "PROMENADE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "323-936-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE AESTHETICS MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "323-936-1245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G65423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.