MR. WESTLEY WISE NPI 1043115793

NPI Information

  • NPI: 1043115793
  • Provider Name: MR. WESTLEY WISE
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 3500 FIFTH AVE STE 304
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 935-9974

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NPI Details

MR. Westley Wise is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Westley Wise NPI is 1043115793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3500 FIFTH AVE STE 304
SAN DIEGO, CA
ZIP 92103-020
Phone: (619) 935-9974
Fax: (760) 818-8025

The enumeration date for this NPI number is 10/13/2026 and was last updated on 10/13/2026.

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
1174400000XSpecialistL10082CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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