Individual provider · Type 1 NPI
Jayson Wisk
General Practice Physician · West Hollywood, CA
NPI number
1821415944
Active
Practice location
375 N La Cienega Blvd Unit 325
West Hollywood, CA 90048-1956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | A163300 (CA) |
| General Practice Physician Primary | 208D00000X | A163300 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1821415944
Jayson Wisk's National Provider Identifier is 1821415944, issued on Mar 26, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in West Hollywood, CA. The record was last updated on Oct 7, 2025.