Organization
SANTA MONICA MEDICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIQA K STELZNER M.D. (PRESIDENT/OWNER)
(310) 829-5475
Entity
Organization
Contact information
Practice address
1908 SANTA MONICA BLVD, 3, SANTA MONICA, CA 90404-1927
(310) 829-5475
(310) 828-1359
Mailing address
1908 SANTA MONICA BLVD, 3, SANTA MONICA, CA 90404-1927
(310) 829-5475
(310) 828-1359
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G86804
CA
Other
Enumeration date
08/16/2007
Last updated
01/19/2010
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