Organization
SANTA MONICA PREVENTIVE CARDIOLOGY MEDICAL GROUP, INC
Active
Other names
Richard L. Taw, Jr., M.D., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE NONE BOYLAN (OFFICE MANAGER)
(310) 829-4327
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, SUITE 212E, SANTA MONICA, CA 90404-2208
(310) 829-4327
(310) 453-4348
Mailing address
2021 SANTA MONICA BLVD, SUITE 212E, SANTA MONICA, CA 90404-2208
(310) 829-4327
(310) 453-4348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G26846
CA
Other
Enumeration date
05/07/2007
Last updated
01/27/2010
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