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Organization
SANTA MONICA ACUTE PAIN MEDICAL GROUP
Active
Organization
SANTA MONICA ACUTE PAIN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN M. KRANTZ M.D. (PRESIDENT)
(310) 284-1221
Entity
Organization
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 319-4610
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056750
—
CA
01
—
ZZZ38961Z
BLUE SHIELD
CA
Enumeration date
08/03/2006
Last updated
08/22/2020
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