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

Westside Internal Medicine

Organization Internal Medicine Physician · NPI 1184631251

Westside Internal Medicine is an Internal Medicine Physician in Santa Monica, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

2121 Wilshire Blvd # 304
Santa Monica, CA 90403
Phone: (310) 264-0065
Fax: (310) 829-0765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1184631251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernie Prudente — Partner · (310) 829-7762
NPI enumeratedAugust 2, 2006
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address2121 Wilshire Blvd Ste 304, Santa Monica, CA 90403-5743

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