Individual
DR. CARL NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 16TH ST STE 3100, SANTA MONICA, CA 90404-1275
(310) 582-6240
(424) 259-7788
Mailing address
8700 BEVERLY BLVD, RM 5512, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116293
CA
207RG0100X
Gastroenterology Physician
Primary
A116293
CA
Other
Enumeration date
07/23/2009
Last updated
01/12/2018
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