MEDICARE: PHILIP M BRETSKY MD PHD

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
1	207R00000X	Internal Medicine Physician	A99447	CA

General Provider Information

NPI Number	:	1952564304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILIP M BRETSKY MD PHD

Provider Business Mailing Address
First Line	:	1301 20TH ST
Second Line	:	SUITE 230
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2050
Country	:	US
Telephone Number	:	310-828-4411
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 20TH ST
Second Line	:	SUITE 230
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2050
Country	:	US
Telephone Number	:	310-828-4411
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PHILIP M BRETSKY
Credential	:	MD PHD
Telephone Number	:	310-828-4411

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	05/27/2026

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