WEST WILSHIRE FAMILY MEDICAL CENTER INC
NPI 1811387723
Clinic/Center - Health Service in Los Angeles, CA

Active since January 30, 2015CLIA 05D2100431 · Waiver
11600 WILSHIRE BLVD, SUITE 416, LOS ANGELES, CA 90025(310) 477-7201(310) 575-0973 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About West Wilshire Family Medical Center Inc NPPES

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

WEST WILSHIRE FAMILY MEDICAL CENTER INC (NPI 1811387723) is a healthcare organization registered as a health service in Los Angeles, California and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Alexandra Divinsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1811387723
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameWEST WILSHIRE FAMILY MEDICAL CENTER INC
Location Address11600 WILSHIRE BLVD, SUITE 416Los Angeles, CA 90025-5781
Mailing AddressPo Box 64455Los Angeles, CA 90064-0455 · (213) 864-8500 · Fax (310) 575-0973
Fax(310) 575-0973
Organization SubpartNo
Authorized OfficialAlexandra DivinskyOwner · (213) 864-8500
Enumeration DateJanuary 30, 2015
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1811387723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in CA · NP15115
11600 WILSHIRE BLVD, Los Angeles, CA 90025

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 05D2100431

West Wilshire Family Medical Center · Los Angeles, CA
Active · expires Aug 13, 2027
CLIA Number05D2100431
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorMohsen Hamza, MD
Laboratory Phone(310) 477-7201
Laboratory LocationWest Wilshire Family Medical Center11600 Wilshire Blvd Ste 416, Los Angeles, CA 90025
CLIA data matches this NPI record on: Address Name 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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
11600 WILSHIRE BLVD, SUITE # 420
LOS ANGELES, CA 90025
Physical Therapist
11600 WILSHIRE BLVD, 222
LOS ANGELES, CA 90025
Orthopaedic Surgery
11600 WILSHIRE BLVD, SUITE 522
LOS ANGELES, CA 90025
Audiologist-Hearing Aid Fitter
11600 WILSHIRE BLVD, STE 114
LOS ANGELES, CA 90025
Durable Medical Equipment & Medical Supplies
11600 WILSHIRE BLVD
LOS ANGELES, CA 90025
Psychiatry & Neurology (Psychiatry)
11600 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90025
Dermatology
11600 WILSHIRE BLVD, STE 408
LOS ANGELES, CA 90025
Acupuncturist
11600 WILSHIRE BLVD, SUITE 320
LOS ANGELES, CA 90025

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 West Wilshire Family Medical Center Inc's NPI number?

The NPI number for West Wilshire Family Medical Center Inc is 1811387723. It was assigned to this organization in the NPPES registry on January 30, 2015.

Where is West Wilshire Family Medical Center Inc located?

West Wilshire Family Medical Center Inc is located at 11600 Wilshire Blvd Suite 416, Los Angeles, CA 90025. The listed phone number is (310) 477-7201.

What is West Wilshire Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does West Wilshire Family Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2100431) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Wilshire Family Medical Center Inc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.