# STEPHEN PATT MD, CENTER FOR FAMILY PRACTICE AND ENTERTAINMENT MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407105646
- **Authorized official:** DR. STEPHEN PATT M.D (PRESIDENT)
- **Authorized official phone:** (310) 582-1114

## Contact information

- **Practice address:** 2001 SANTA MONICA BLVD, 888W, SANTA MONICA, CA 90404-2102
- **Practice address phone:** (310) 582-1114
- **Mailing address:** 2001 SANTA MONICA BLVD, 888W, SANTA MONICA, CA 90404-2102
- **Mailing address phone:** (310) 582-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | G47632A | CA | Yes |

## Other

- **Enumeration date:** 09/04/2012
- **Last updated:** 09/04/2012