WESTSIDE MEDICAL CENTER INC NPI 1104909068

NPI Information

  • NPI: 1104909068
  • Provider Name: WESTSIDE MEDICAL CENTER INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D0915258
  • Address: 1700 WESTWOOD BLVD FL 1
    LOS ANGELES, CA
    ZIP 90024
  • Phone: (310) 234-6600

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NPI Details

WESTSIDE MEDICAL CENTER INC is an ambulatory surgical clinic center in Los Angeles, CA. WESTSIDE MEDICAL CENTER INC NPI is 1104909068. The provider is registered as an organization entity type.

The provider's business location address is:

1700 WESTWOOD BLVD FL 1
LOS ANGELES, CA
ZIP 90024-608
Phone: (310) 234-6600
Fax: (310) 234-6604

The provider's authorized official is Sohrab Yamini .
The authorized official title is Owner and has the following contact phone number (310) 234-6600.

The CLIA number assigned to this NPI record is 05D0915258 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalA40040CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S051811MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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