Individual
DR. KATHRYN MENTA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
242 26TH ST, SANTA MONICA, CA 90402-2552
(310) 451-3911
(310) 458-4402
Mailing address
242 26TH ST, SANTA MONICA, CA 90402-2552
(310) 451-3911
(310) 458-4402
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
G43380
CA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
G43380
CA
Other
Enumeration date
01/23/2007
Last updated
12/27/2019
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