Organization
CALIFORNIA PROFESSIONAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOIS M. O'BRIEN M.D. (OWNER)
(310) 471-5852
Entity
Organization
Contact information
Practice address
1328 22ND ST, SANTA MONICA, CA 90404-2032
(310) 471-5852
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A24195
CA
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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