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Organization
SANTA MONICA BAY AREA PHYSICIANS
Active
Organization
SANTA MONICA BAY AREA PHYSICIANS
Active
Parent organization
SANTA MONICA BAY AREA PHYSICIANS
Other names
SANTA MONICA BAY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Authorized official
BERNARD J KATZ MD (CHIEF EXECUTIVE OFFICER)
(310) 417-5900
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 1070, SANTA MONICA, CA 90404-2102
(310) 315-7900
(310) 315-7931
Mailing address
6029 BRISTOL PKWY, 100, CULVER CITY, CA 90230-6643
(310) 417-5901
(310) 410-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560
LOCATION PTAN
CA
Enumeration date
07/06/2006
Last updated
05/23/2008
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