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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 physicinas
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Authorized official
DR. BERNARD KATZ MD (CHIEF EXECUTIVE OFFICER)
(310) 417-5900
Entity
Organization
Contact information
Practice address
1260 15TH ST, 1501, SANTA MONICA, CA 90404-1135
(310) 656-1700
(310) 458-1061
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
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560C
MEDICARE LOCATION PTAN
CA
Enumeration date
06/16/2006
Last updated
05/29/2008
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