Healthcare Provider Details
I. General information
NPI: 1215508072
Provider Name (Legal Business Name): JOEL WASHINGTON WRIGHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/02/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2928 E CESAR E CHAVEZ AVE
LOS ANGELES CA
90033-3110
US
IV. Provider business mailing address
2928 E CESAR E CHAVEZ AVE
LOS ANGELES CA
90033-3110
US
V. Phone/Fax
- Phone: 323-266-6700
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 196523 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: