# REISS WOZNAK MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1669693693
- **Authorized official:** MR. FRANK F WOZNAK JR. MD (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (310) 828-5571

## Contact information

- **Practice address:** 1908 SANTA MONICA BLVD, SUITE 5, SANTA MONICA, CA 90404
- **Practice address phone:** (310) 828-5571
- **Practice address fax:** (310) 828-4247
- **Mailing address:** 1908 SANTA MONICA BLVD, SUITE 5, SANTA MONICA, CA 90404
- **Mailing address phone:** (310) 828-5571
- **Mailing address fax:** (310) 828-4247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C28067 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020