CorpID/LocID

Practitioner List:

 WESTERN PACIFIC MED-CORP
 7232 Canby Avenue, Suites 4,5,6,
 Reseda, CA  91335

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
ANTHONYDYER Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1043868276137484 Yes
DARYOOSHSAMI Physician (MD or DO) 121511468142498Medical Board of California (MD or DO)Yes
SAYEHPARTOVI Physician Assistant (PA) 188106863353039Physician’s Assistant Board (PA)Yes