Wishingrad, Marc David

Wishingrad, Marc David is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Suite 360W, Santa Monica CA 90404-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wishingrad, Marc David can be contacted via phone (310) 453-1871.

Contact Information

Primary practice address
2001 Santa Monica Blvd Suite 360W Santa Monica CA 90404-2102
Phone: (310) 453-1871
Fax: (310) 453-3910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G69602 California

Profile Details

NPI number 1093764359
LBN Legal business name Wishingrad, Marc David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Nov 30th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093764359 NPPES
California MEDICAID 00G696020

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