# LAUREN SWERDLOFF, MD A MEDICAL PROFESSIONAL CORP

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

## Provider details

- **NPI number:** 1861643900
- **Authorized official:** LAUREN CIEL SWERDLOFF MD (PRESIDENT)
- **Authorized official phone:** (310) 829-5189

## Contact information

- **Practice address:** 1821 WILSHIRE BLVD STE 220, SANTA MONICA, CA 90403-5627
- **Practice address phone:** (310) 829-5189
- **Practice address fax:** (310) 829-5942
- **Mailing address:** 1821 WILSHIRE BLVD STE 220, SANTA MONICA, CA 90403-5627
- **Mailing address phone:** (310) 829-5189
- **Mailing address fax:** (310) 829-5942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G67752 | CA | Yes |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G677520 | — | CA |