Individual
DR. R. PAUL ST. AMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4560 ADMIRALTY WAY, STE. 355, MARINA DEL REY, CA 90292-5423
(310) 577-7510
(310) 821-0664
Mailing address
4560 ADMIRALTY WAY, STE. 355, MARINA DEL REY, CA 90292-5423
(310) 577-7510
(310) 821-0664
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G2487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G24870
BLUECROSS BLUE SHIELD
CA
Enumeration date
09/21/2006
Last updated
09/08/2008
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