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Organization

SURGICAL ASSOCIATES OF SANTA MONICA A MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY M KUSSKE MD (PHYSICIAN)
(310) 453-8838
Entity
Organization

Contact information

Practice address
2021 SANTA MONICA BLVD, STE 625 EAST, SANTA MONICA, CA 90404-2208
(310) 453-8838
(310) 453-8355
Mailing address
2021 SANTA MONICA BLVD, STE 625 EAST, SANTA MONICA, CA 90404-2208
(310) 453-8838
(310) 453-8355

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0057190
CA
Enumeration date
02/06/2006
Last updated
04/18/2011
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