Individual provider · Type 1 NPI

Brandon Mark Wiley, MD

Cardiovascular Disease Physician · Los Angeles, CA

NPI number 1104152412 Active

Practice location

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA116066 (CA)
Critical Care Medicine (Internal Medicine) Physician 207RC0200XA116066 (CA)
Cardiovascular Disease Physician Primary 207RC0000XA116066 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1104152412

Brandon Mark Wiley, MD's National Provider Identifier is 1104152412, issued on Oct 20, 2009. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 21, 2023.