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

Wilshire Multi-Specialty Clinic

Organization Optometrist · NPI 1487987905

Wilshire Multi-Specialty Clinic is an Optometrist in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
7
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Practice location Address checks out

3540 Wilshire Blvd Ste: 1028
Los Angeles, CA 90010-2307
Phone: (213) 388-3712
Fax: (213) 388-0734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A37070 (CA)
Optometrist Taxonomy 152W00000X · Licence G87522 (CA)
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X · Licence A37070 (CA)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence A54260 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence G36302 (CA)
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X · Licence PSY12331 (CA)

Record details

NPI number1487987905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kusum Rudrappa — Medical Director · (213) 388-3712
NPI enumeratedSeptember 16, 2009
Last updated in NPPESSeptember 16, 2009
Mailing address3540 Wilshire Blvd, Ste: 1028, Los Angeles, CA 90010-2307

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