Organization
STEPHEN PATT MD, CENTER FOR FAMILY PRACTICE AND ENTERTAINMENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PATT M.D (PRESIDENT)
(310) 582-1114
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 888W, SANTA MONICA, CA 90404-2102
(310) 582-1114
Mailing address
2001 SANTA MONICA BLVD, 888W, SANTA MONICA, CA 90404-2102
(310) 582-1114
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G47632A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G47632A
LICENSE
CA
Enumeration date
09/04/2012
Last updated
09/04/2012
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