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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
PLAZA MARINA WALK0IN URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Authorized official
BERNARD J KATZ MD (CHIEF EXECUTIVE OFFICER)
(310) 417-5900
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY, 100, MARINA DEL REY, CA 90292-5423
(310) 827-3700
(310) 578-5379
Mailing address
6029 BRISTOL PKWY, 100, CULVER CITY, CA 90230-6643
(310) 417-5901
(310) 410-1001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560F
MEDICARE LOCATION PTAN NUMBER
—
Enumeration date
06/17/2006
Last updated
06/25/2008
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