Wondermed of California, INC
NPI #1639824105 in Venice, California
Provider Information
- NPI Number
- 1639824105
- Entity Type
- Organization
- Organization Name
- Wondermed of California, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 14, 2022
- Last Updated
- Mar 28, 2022
Practice Location
- Address
- 828 CRESTMOORE PL
- City
- Venice
- State
- California
- ZIP Code
- 90291-4931
- Phone
- (310) 692-1469
Authorized Official
- Name
- SANTINO LABATE
- Title
- COMPLIANCE
- Phone
- (949) 201-6090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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