Mr. Casey James Welk
Nurse Practitioner - Primary Care
9201 W Sunset Blvd Ste 812
Los Angeles
, California 90069-3709
Mr. Casey James Welk
Nurse Practitioner - Primary Care
9201 W Sunset Blvd Ste 812
Los Angeles
, California 90069-3709
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mr. Casey James Welk
- 1263 N Flores St Apt H2
- West Hollywood, CA
- Zip : 90069-2973
- Phone :
Second Address
- Mr. Casey James Welk
- 9201 W Sunset Blvd Ste 812
- Los Angeles, CA
- Zip : 90069-3709
- Phone : (310) 550-1010
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Is Mr. Casey James Welk a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 95008842 | CA |
National Provider Identifier
| NPI | 1083104582 |
|---|---|
| Provider Name | Mr. Casey James Welk |
| First Address | West Hollywood, CA 90069-2973 |
| Second Address | Los Angeles, CA 90069-3709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2018 |
| Last Update Date | 10/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.