Organization · Type 2 NPI

Wilkes & Shani Medical, P.c

Non-Pharmacy Dispensing Site · Newbury Park, CA

NPI number 1831444124 Active

Practice location

400 S Reino Rd, Suite 200
Newbury Park, CA 91320-4284

Call (805) 499-4446 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

NPI record

NPI: 1831444124
Entity type: Organization (Type 2)
Issued: Jul 23, 2012
Last updated: Jul 23, 2012
Status: Active
Subpart: Yes of Wilkes & Shani Medical, P.c

Other names

<unavail>
Shani Clinic · doing business as

Authorized official

Dr. Donnelly R. Wilkes, MD
Medical Director
(805) 499-4446

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831444124

Wilkes & Shani Medical, P.c's National Provider Identifier is 1831444124, issued on Jul 23, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Newbury Park, CA. The record was last updated on Jul 23, 2012.