Organization
SANTA MONICA BAY AREA PHYSICIANS
Active
Parent organization
SANTA MONICA BAY AREA PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Authorized official
BERNARD J KATZ M.D. (CO-CEO)
(310) 417-5900
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 860, SANTA MONICA, CA 90404-2102
(310) 828-3209
(310) 828-5165
Mailing address
6029 BRISTOL PKWY, 100, CULVER CITY, CA 90230-6643
(310) 417-5900
(310) 410-1001
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G44560
CA
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560
PTAN
CA
Enumeration date
01/19/2010
Last updated
01/19/2010
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