Organization
SCREENLAND MEDICAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE PUTNAM M.D. (PARTNER)
(310) 204-4111
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE, SUITE 504, CULVER CITY, CA 90232-2751
(310) 204-4111
(310) 204-4474
Mailing address
3831 HUGHES AVE, SUITE 504, CULVER CITY, CA 90232-2751
(310) 204-4111
(310) 204-4474
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A83674
CA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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