Organization
SANTA MONICA ORTHOPAEDIC AND SPORTS MEDICINE GROUP
Active
Organization
SANTA MONICA ORTHOPAEDIC AND SPORTS MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M RAMIN MODABBER M.D. (PRESIDENT)
(310) 829-2663
Entity
Organization
Contact information
Practice address
2020 SANTA MONICA BLVD, SUITE 400, SANTA MONICA, CA 90404-2023
(310) 829-2663
(310) 315-5620
Mailing address
2020 SANTA MONICA BLVD, SUITE 400, SANTA MONICA, CA 90404-2023
(310) 829-2663
(310) 315-5620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
047467
CA
Other
Enumeration date
11/14/2006
Last updated
04/07/2010
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