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Organization
TENTH STREET PEDIATRICS
Active
Organization
TENTH STREET PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L WASSON M.D. (PRESIDENT)
(310) 458-1714
Entity
Organization
Contact information
Practice address
1450 10TH ST, SUITE 304, SANTA MONICA, CA 90401-2838
(310) 458-1714
(310) 394-8754
Mailing address
1450 10TH ST, SUITE 304, SANTA MONICA, CA 90401-2838
(310) 458-1714
(310) 394-8754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CA
Other
Enumeration date
02/10/2015
Last updated
07/21/2022
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