Organization
STANTON G. AXLINE M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON G AXLINE M.D. (OWNER)
(310) 829-0912
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 655W, SANTA MONICA, CA 90404-2102
(310) 829-0919
(310) 829-1260
Mailing address
2001 SANTA MONICA BLVD STE 687W, SANTA MONICA, CA 90404-2186
(310) 829-0919
(310) 829-1260
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C23954
CA
Other
Enumeration date
02/09/2012
Last updated
08/27/2025
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