Provider Demographics
NPI:1386697076
Name:WESTERBAND, MDS, INC
Entity type:Organization
Organization Name:WESTERBAND, MDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERBAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-865-8582
Mailing Address - Street 1:32720 BARRETT DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5527
Mailing Address - Country:US
Mailing Address - Phone:818-865-8582
Mailing Address - Fax:818-865-8415
Practice Address - Street 1:32720 BARRETT DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5527
Practice Address - Country:US
Practice Address - Phone:818-865-8582
Practice Address - Fax:818-865-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44057207PE0004X
CAA435322083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Multi-Specialty