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NPI Code Detail

MEDICARE: MRS. LILIA REGINA WEXLEY M.D

MEDICARE:  MRS. LILIA REGINA WEXLEY  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA45560CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407868433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILIA REGINA WEXLEY M.D
Provider Business Mailing Address
First Line : 739 N FAIRFAX AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-7261
Country : US
Telephone Number : 323-655-3933
Fax Number : 323-655-9725
Provider Business Practice Location Address
First Line : 739 N FAIRFAX AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-7261
Country : US
Telephone Number : 323-655-3933
Fax Number : 323-655-9725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 06/09/2010

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