| Organization Name: | WESTLAKE, LLC |
| NPI Number: | 1003015306 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY GHISELLI (OWNER) |
| Mailing Address: | 7800 E Orchard Rd Suite 100 Greenwood Village |
| State: | CO US |
| Postal Code: | 801112583 |
| Phone Number: | 3037831300 |
| Fax Number: | 3037831200 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 2415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |