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

Westside Multi-Specialty Medical Group, Inc

Organization Family Medicine Physician · NPI 1083879324

Westside Multi-Specialty Medical Group, Inc is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6200 Wilshire Blvd Ste 1212
Los Angeles, CA 90048-5801
Phone: (323) 933-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence FNP34645 (CA)

Record details

NPI number1083879324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sousanna Lachtchouk — Officer · (323) 933-7200
NPI enumeratedJuly 25, 2008
Last updated in NPPESJuly 25, 2008
Mailing address6200 Wilshire Blvd, Suite 1212, Los Angeles, CA 90048-5801

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