Individual
MONICA NOEL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1328 TWENTY SECOND STREET, SAINT JOHNS ER, SANTA MONICA, CA 90404
(310) 582-7084
(310) 582-7098
Mailing address
PO BOX 661297, ARCADIA, CA 91066-1297
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA17442
—
CA
Enumeration date
08/03/2006
Last updated
06/18/2008
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