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“Military Health Care Provider” (Los Angeles, CA)

Location: Los Angeles, CA
Taxonomy: Military Health Care Provider.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1073048963 — DR. JARED ROBERT WIDDER D.O.
Practice Location Address:
100 STEIN PLZ FL 1
LOS ANGELES CA
90095-5000
Practice Phone: 310-825-3090
1750853768 — MISS PERLA MADRID
Practice Location Address:
3910 OAKWOOD AVE
LOS ANGELES CA
90004-3413
Practice Phone: 323-953-7350
1801483904 — MR. PAUL EDGAR CASTELLANOS
Practice Location Address:
11301 WILSHIRE BLVD BLDG 258
LOS ANGELES CA
90073-1003
Practice Phone: 310-920-5942
1861574402 — MS. MERLE C FISHMAN OTR/L
Practice Location Address:
11301 WILSHIRE BLVD BLDG 208, AR 116
LOS ANGELES CA
90073-1003
Practice Phone: 310-268-4062

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