Organization
JOSEPH W LANDAU M D A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W LANDAU M.D. (PRESIDENT/SECRETARY)
(310) 828-4494
Entity
Organization
Contact information
Practice address
2428 SANTA MONICA BLVD, STE 401, SANTA MONICA, CA 90404-2047
(310) 828-4494
(310) 828-3254
Mailing address
2428 SANTA MONICA BLVD, STE 401, SANTA MONICA, CA 90404-2047
(310) 828-4494
(310) 828-3254
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G4281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G42810
—
CA
01
—
05D0549998
CLIA
CA
01
—
1609801760
VARIOUS INSURANCE COMPANIES
CA
01
—
G4281
VARIOUS INSURANCE COMPANIES
CA
Enumeration date
08/10/2009
Last updated
08/21/2009
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