Organization
SANTA MONICA BAY AREA PHYSICIANS
Active
Other names
AMERICAN WELLNESS IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD J KATZ MD (CO CHIEF EXECUTIVE OFFICER)
(310) 417-5900
Entity
Organization
Contact information
Practice address
524 COLORADO AVE, SANTA MONICA, CA 90401-2436
(310) 260-2917
(310) 587-9236
Mailing address
6029 BRISTOL PKWY, 100, CULVER CITY, CA 90230-6643
(310) 417-5900
(310) 410-1001
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TD076
PTAN
CA
Enumeration date
06/18/2006
Last updated
05/09/2008
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