Zdzislaus J. Wanski, MD
Zdzislaus J. Wanski, MD provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
1414 S Grand Ave Ste 456Los Angeles, CA 90015-3067 Not confirmed with CMS for 18 years — call before visiting
Phone: (213) 745-6047
Fax: (213) 748-9715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endocrinology, Diabetes & Metabolism Physician (primary) | Taxonomy 207RE0101X · Licence G36872 (CA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 20A41629 (CA) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA18399 (CA) |
Record details
| NPI number | 1689879587 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alma Paz — Administrative Assistant · (213) 745-6047 |
| NPI enumerated | June 19, 2007 |
| Last updated in NPPES | October 9, 2007 |
| Mailing address | 1414 S Grand Ave, Suite 456, Los Angeles, CA 90015-3067 |
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