Provider Demographics
NPI:1770697567
Name:WOLMAN, NAOMI (MD)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:WOLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:OREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232
Mailing Address - Country:US
Mailing Address - Phone:310-399-1343
Mailing Address - Fax:424-603-4831
Practice Address - Street 1:1460 WESTWOOD BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-399-1343
Practice Address - Fax:424-603-4831
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA534622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A534620Medicaid
CA00A534620Medicaid
A53462AMedicare ID - Type Unspecified