Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wilshire Center for Dermatology, a Professional Corporation

Organization Dermatology Physician · NPI 1104180264

Wilshire Center for Dermatology, a Professional Corporation is a Dermatology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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Practice location Address checks out

5757 Wilshire Blvd Promenade 2
Los Angeles, CA 90036-5810
Phone: (323) 936-1245
Fax: (323) 936-0887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G57255 (CA)

Record details

NPI number1104180264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Rassman — President · (323) 936-1245
NPI enumeratedJuly 3, 2012
Last updated in NPPESJuly 3, 2012
Mailing address5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810

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