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General NPI Number Information
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NPI Number | 1669457669
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Entity Type | Organization
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Legal Business Name | WILSHIRE HEALTH SERVICES INC
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3699 WILSHIRE BLVD STE 1280
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City | LOS ANGELES
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State | CA
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Zip | 90010
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Country | US
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Telephone | 213-380-3990
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Fax | 213-380-4210
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Provider Business Mailing Address
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Address Line | 3699 WILSHIRE BLVD STE 1280
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City | LOS ANGELES
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State | CA
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Zip | 90010
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Country | US
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Telephone | 213-380-3990
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Fax | 213-380-4210
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MS. ELISA A RODRIGUEZ
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Credential |
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Telephone | 213-380-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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