Active NPI
Alexander C. Wulff, DO
- Sports Medicine (Family Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1609783026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- ALEXANDER C. WULFF, DO
- Practice address
- 11710 Wilshire Blvd
Los Angeles, CA 90025-1503 - Phone
- (310) 873-4414
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander C Wulff, DO
- Title
- Ceo
- Phone
- (925) 963-7861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | NU | Primary |
Addresses
Primary practice location
11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Mailing address
11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone (310) 873-4414
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1609783026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11710 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251503",
"telephone_number": "310-873-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251503",
"telephone_number": "310-873-4414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER C. WULFF, DO",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "WULFF",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "925-963-7861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NU",
"license": null,
"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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.