WESTSIDE WELLNESS CENTER (NPI# 1063659753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063659753 |
| Entity Type | Organization |
| Organization Name | WESTSIDE WELLNESS CENTER |
| Practice Address |
11645 Wilshire Blvd 120 Los Angeles CA 90025-1708 |
| Practice Telephone | 3102317000 |
| Practice Fax Number | 3102317000 |
| Mailing Telephone | 3102317000 |
| Mailing Fax Number | 3102317000 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |
| Authorized Official Name | DR. JASON WALTER KELBERMAN (DIRECTOR CHIRO & CLINICAL SERVICES) |
| Authorized Official Telephone | 3102317000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 16444 | CA | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Westside Wellness Center, LLC | 5310 Dtc Pkwy, Suite F, Greenwood Village, CO 80111-3010 |
| Street Address |
11645 WILSHIRE BLVD 120 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475986 | Scott Ritchey Sale | Specialist | 11645 Wilshire Blvd, Suite 1090, Los Angeles, CA 90025-1708 | 2006-04-11 |
| 1801244108 | Nicole Karman Gilbert | Psychologist | 11645 Wilshire Blvd, Suite 1065, Los Angeles, CA 90025-1708 | 2016-05-26 |
| 1972988491 | Eric J. Meinhardt, M.d., A Professional Corporation | Dermatology | 11645 Wilshire Blvd, 1080, Los Angeles, CA 90025-1708 | 2015-07-26 |
| 1821482258 | Taraneh F. Noorvash Dds Inc | Clinic/Center | 11645 Wilshire Blvd, Suite 1060, Los Angeles, CA 90025-1708 | 2015-03-24 |
| 1245638253 | Maurice Firouz, D.d.s., Inc. | Clinic/Center | 11645 Wilshire Blvd, 1060, Los Angeles, CA 90025-1708 | 2014-12-08 |
| 1619374238 | Maurice K Masliah | Dentist | 11645 Wilshire Blvd, Ste 1158, Los Angeles, CA 90025-1708 | 2014-11-25 |
| 1720322415 | Brentwood Medical Group A Professional Medical Corp | Internal Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2012-11-19 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1174899686 | Advanced Interventional Pain Center La | Pain Medicine | 11645 Wilshire Blvd, Suite 852, Los Angeles, CA 90025-6808 | 2012-03-29 |
| 1912211426 | Manuel Anthony Bustamante | Dentist | 11645 Wilshire Blvd, Suite 1160, Los Angeles, CA 90025-6811 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181646 | Astkhik Bagdasaryan | Chiropractor | 5250 Santa Monica Blvd Ste 303, Los Angeles, CA 90029-1255 | 2020-10-13 |
| 1205433661 | Henry Rivera | Chiropractor | 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025-7567 | 2020-10-07 |
| 1801417563 | Sangwook Lee | Chiropractor | 680 S Berendo St Apt 529, Los Angeles, CA 90005-2087 | 2020-05-04 |
| 1760003149 | Danielle Christine Johnston | Chiropractor | 1280 S Barrington Ave Apt 14, Los Angeles, CA 90025-1642 | 2020-04-27 |
| 1942820980 | Peter Yi | Chiropractor | 919 S Soto St Ste 5, Los Angeles, CA 90023-1303 | 2020-04-20 |
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1114552254 | Alkemy Acupuncture & Integrative Medicine, Inc. | Chiropractor | 700 W 9th St Apt 2418, Los Angeles, CA 90015-4545 | 2020-03-09 |
| 1205469764 | Tom Chung Optimum Chiropractic, Inc | Chiropractor | 3727 W 6th St Ste 616, Los Angeles, CA 90020-5111 | 2020-02-12 |
| 1639715352 | Jack Li, D.c., A Chiropractic Corporation | Chiropractor | 12340 Santa Monica Blvd Ste 129, Los Angeles, CA 90025-2584 | 2019-11-18 |
| 1740837384 | Annie Somi Lee | Chiropractor | 1458 S San Pedro St # L19, Los Angeles, CA 90015-3144 | 2019-08-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on WESTSIDE WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.