Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pacific West Coast Health Medical Therapy Center Inc

Organization Family Medicine Physician · NPI 1093919615

Pacific West Coast Health Medical Therapy Center Inc provides Family Medicine Physician services in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11540 Santa Monica Blvd 201
Los Angeles, CA 90025-7905 Not confirmed with CMS for 18 years — call before visiting
Phone: (310) 428-8065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1093919615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Wiener — Designated Contact · (310) 428-8065
NPI enumeratedJune 14, 2007
Last updated in NPPESOctober 22, 2007
Mailing address1441 Westwood Blvd, E, Los Angeles, CA 90024-4938

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