Search › California › 363LA2100X
Cori Wiseman, MSN
NPI 1134374705 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2100 E Colorado Blvd Ste 1
Pasadena, CA 91107 - Phone
- (626) 229-9865
- Fax
- (626) 229-9867
- Organisation at this address
- Huntington Geriatric Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 3402 S 19th St, Tacoma, WA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
363LA2100X - Licence states on file
- CA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California