Jack Wax, M.D., INC
Anesthesiology, Pain Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1245304328
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1245304328
- Entity type
- Organization (NPI-2)
- Legal business name
- Jack Wax, M.D., INC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | A28870 | CA | Yes |
| 207L00000X | Anesthesiology | A28870 | CA |
Practice location
2080 Century Park ELos Angeles, CA 90067-2001
Phone 310-277-1846
Mailing address
Po Box 7001Tarzana, CA 91357-7001
Phone 818-888-7815 · Fax 818-715-1722
Authorized official
Jack Wax
President-Sole Owner
8188887815
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