Healthcare Provider Details

I. General information

NPI: 1225271505
Provider Name (Legal Business Name): JOAN F WRIGHT, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2009
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S FLOWER ST 3RD FLOOR
LOS ANGELES CA
90007-2629
US

IV. Provider business mailing address

2400 S FLOWER ST 3RD FLOOR
LOS ANGELES CA
90007-2629
US

V. Phone/Fax

Practice location:
  • Phone: 213-742-6581
  • Fax: 213-742-1583
Mailing address:
  • Phone: 213-742-6581
  • Fax: 213-742-1583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberG43295
License Number StateCA

VIII. Authorized Official

Name: JOAN FRANCES WRIGHT
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 213-742-6581