Westside Internal Medicine
NPI #1184631251 in Santa Monica, California
Provider Information
- NPI Number
- 1184631251
- Entity Type
- Organization
- Organization Name
- Westside Internal Medicine
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Nov 26, 2025
Practice Location
- Address
- 2121 WILSHIRE BLVD
- Address 2
- # 304
- City
- Santa Monica
- State
- California
- ZIP Code
- 90403
- Phone
- (310) 264-0065
Authorized Official
- Name
- ERNIE PRUDENTE, MD
- Title
- PARTNER
- Phone
- (310) 829-7762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
| Internal Medicine |
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