Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

L Wiener C Ross Medical Corp

Organization Sports Medicine (Internal Medicine) Physician · NPI 1366543290

L Wiener C Ross Medical Corp is a Sports Medicine (Internal Medicine) Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11540 Santa Monica Bl #203
Los Angeles, CA 90025-7905
Phone: (310) 914-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence FNP30417 (CA)

Record details

NPI number1366543290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurence Wiener — Ceo · (310) 428-8065
Other names Pacific West Heath Medical Associates Inc.
NPI enumeratedSeptember 25, 2006
Last updated in NPPESMarch 19, 2019
Mailing address11540 Santa Monica Bl. #203, Los Angeles, CA 90025-7905

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