Organization
DINO T. DECONCINI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINO T DECONCINI MD (PHYSICIAN, OWNER)
(310) 828-8531
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, 510 E, SANTA MONICA, CA 90404-2160
(310) 828-8531
(310) 829-2711
Mailing address
2021 SANTA MONICA BLVD, 510 E, SANTA MONICA, CA 90404-2160
(310) 828-8531
(310) 829-2711
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G84439
CA
Other
Enumeration date
07/31/2007
Last updated
07/14/2023
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