WESTSIDE HEAD & NECK
NPI 1508174871
Otolaryngology in Culver City, CA

Active since September 20, 2010CLIA 05D2040421 · Waiver
3831 HUGHES AVE, SUITE 504, CULVER CITY, CA 90232(310) 204-4111(310) 204-4474 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westside Head & Neck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE HEAD & NECK (NPI 1508174871) is a healthcare organization registered as an otolaryngology in Culver City, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Michelle Ann Putnam, General Partner, as its authorized official.

NPPES Registry Identity

NPI1508174871
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameWESTSIDE HEAD & NECK
Location Address3831 HUGHES AVE, SUITE 504Culver City, CA 90232-2751
Mailing Address3831 Hughes Ave, Suite 504Culver City, CA 90232-2751 · (310) 204-4111 · Fax (310) 204-4474
Fax(310) 204-4474
Organization SubpartNo
Authorized OfficialMichelle Ann PutnamGeneral Partner · (310) 204-4111
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJuly 23, 2012
NPI 1508174871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3831 HUGHES AVE, Culver City, CA 90232

Other Identifiers 2

Medicare PINFA716A
OtherDR6472Rail Road

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2040421

Westside Head And Neck · Culver City, CA
Active · expires Apr 29, 2028
CLIA Number05D2040421
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorMichelle Putnam
Laboratory Phone(310) 204-4111
Laboratory LocationWestside Head And Neck3831 Hughes Ave Ste 504, Culver City, CA 90232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
3831 HUGHES AVE, SUITE 504
CULVER CITY, CA 90232
Internal Medicine
3831 HUGHES AVE, 705
CULVER CITY, CA 90232
Physical Therapist
3831 HUGHES AVE, SUITE # 104
CULVER CITY, CA 90232
Acupuncturist
3831 HUGHES AVE, SUITE 601 CULVER MEDICAL PLAZA
CULVER CITY, CA 90232
Otolaryngology
3831 HUGHES AVE, SUITE 504
CULVER CITY, CA 90232
Audiologist
3831 HUGHES AVE, SUITE 600 B
CULVER CITY, CA 90232
Nurse Practitioner (Psychiatric/Mental Health)
3831 HUGHES AVE, SUITE 506
CULVER CITY, CA 90232
Internal Medicine (Infectious Disease)
3831 HUGHES AVE, SUITE 702
CULVER CITY, CA 90232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Head & Neck's NPI number?

The NPI number for Westside Head & Neck is 1508174871. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Westside Head & Neck located?

Westside Head & Neck is located at 3831 Hughes Ave Suite 504, Culver City, CA 90232. The listed phone number is (310) 204-4111.

What is Westside Head & Neck's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Westside Head & Neck hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2040421) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Westside Head & Neck was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.