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William Charles Wirshing

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1920 Marengo St, Los Angeles, CA 90033

PECOS Enrollment

This provider is enrolled in PECOS as WILLIAM WIRSHING.

Based on the most recent information from CMS, provider William Charles Wirshing is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265621601
Provider Type
Individual
Full Name
Wirshing, William Charles
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/22/2007
Last Updated
1/3/2019

Contact Information

Practice Location

1920 Marengo St, Los Angeles, CA 90033

(323) 276-6400

Unlisted Fax

Mailing Location

1390 El Mirador Dr, Pasadena, CA 91103-2724

(310) 413-4200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License G50986 California
Code 2084P0805X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License G50986 California

William Charles Wirshing

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Pompl, Patrick Nicholas

Rabkin, Beatrice

Sobrinho, Giovanna

Charoensook, Janet

Soydinc, Esra

Simpson, George M

Gorraiz, Gregory

Puri, Siddarth

Pentagulio, Celena Derderian

Pi, Edmond H.