MARC D WISHINGRAD MD INC NPI 1871603092

NPI Information

NPI: 1871603092
Provider Name: MARC D WISHINGRAD MD INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
2001 SANTA MONICA BLVD
SUITE 360W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 453-1871
Get Directions

MARC D WISHINGRAD MD INC is a gastroenterology internal medicine in Santa Monica, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MARC D WISHINGRAD MD INC NPI is 1871603092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 SANTA MONICA BLVD
SUITE 360W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 453-1871
Fax: (310) 453-3910

The provider's authorized official is Marc D Wishingrad .
The authorized official title is Physician and has the following contact phone number (310) 453-1871.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/30/2007.

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
1	207RG0100X	Internal Medicine	Gastroenterology	G69602	CALIFORNIA	Yes

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
1	W19685	OTHER	CALIFORNIA	MEDICARE
2	00G696020	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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