Provider Demographics
NPI:1407958739
Name:WASTERLAIN, CLAUDE GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:GUY
Last Name:WASTERLAIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12211 HIGHWATER RD
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2110
Mailing Address - Country:US
Mailing Address - Phone:818-368-1116
Mailing Address - Fax:310-268-4611
Practice Address - Street 1:11301 WILSHIRE BOULEVARD
Practice Address - Street 2:VA MEDICAL CENTER, NEUROLOGY SERVICE (127)
Practice Address - City:WEST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073
Practice Address - Country:US
Practice Address - Phone:310-268-3595
Practice Address - Fax:310-268-4611
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA298232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology