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

Wondermed of California, Inc

Organization Family Medicine Physician · NPI 1639824105

Wondermed of California, Inc is a Family Medicine Physician in Venice, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

828 Crestmoore Pl
Venice, CA 90291-4931
Phone: (310) 692-1469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Washington Blvd # 130, Marina Del Rey, CA 90292-5152 — (310) 692-1469

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639824105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santino Labate — Compliance · (949) 201-6090
NPI enumeratedFebruary 14, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 18, 2022
Mailing address828 Crestmoore Pl, Venice, CA 90291-4931

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