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NPI Code Detail

MEDICARE: SANTA MONICA BAY AREA PHYSICIANS

MEDICARE: SANTA MONICA BAY AREA PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W14560AOTHERCAMEDICARE LOCATION PTAN

General Provider Information

NPI Number : 1811930613
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANTA MONICA BAY AREA PHYSICIANS
Provider Business Mailing Address
First Line : 6029 BRISTOL PKWY
Second Line : 100
City : CULVER CITY
State : CA
Zip : 90230-6643
Country : US
Telephone Number : 310-417-5901
Fax Number : 310-410-1001
Provider Business Practice Location Address
First Line : 2424 WILSHIRE BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90403-5806
Country : US
Telephone Number : 310-828-4530
Fax Number : 310-453-4613
Authorized Official
Title or Position : CO CHIEF EXECUTIVE OFFICER
Name : DR. BERNARD J KATZ
Credential : MD
Telephone Number : 310-417-5900
Provider Enumeration Date : 06/13/2006
Last Update Date : 05/29/2008

Similar Medicare Providers

1013218908 — DONALD BUSCHMANN M.D.
Practice Location Address:
2424 WILSHIRE BLVD
SANTA MONICA, CA
90403-5806
Practice Phone: 310-828-4530
Practice Fax:
1891725438 — DR. LANCE ARNOLD GENTILE M.D.
Practice Location Address:
2424 WILSHIRE BLVD
SANTA MONICA, CA
90403-5806
Practice Phone: 310-828-4530
Practice Fax:
1922318062 — SANTA MONICA BAY PHYSICIANS
Practice Location Address:
2424 WILSHIRE BLVD
SANTA MONICA, CA
90403-5806
Practice Phone: 310-828-4530
Practice Fax: 310-453-4613
1487064564 — DR. NAVID DAROUIAN M.D.
Practice Location Address:
2424 WILSHIRE BLVD
SANTA MONICA, CA
90403-5806
Practice Phone: 310-828-4530
Practice Fax: 310-453-4613
1710373774 — ANH LE
Practice Location Address:
2424 WILSHIRE BLVD
SANTA MONICA, CA
90403-5806
Practice Phone: 310-828-4530
Practice Fax: 310-453-4613
1487033015 — REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice Location Address:
2424 WILSHIRE BLVD
SANTA MONICA, CA
90403-5806
Practice Phone: 310-828-4530
Practice Fax:

Directions to “SANTA MONICA BAY AREA PHYSICIANS ” Practice Location

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