Organization
SANTA MONICA EYE MEDICAL GROUP
Active
Other names
DONALD E DICKERSON MD
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA D SIEGAL (OFFICE MANAGER)
(310) 829-5475
Entity
Organization
Contact information
Practice address
1908 SANTA MONICA BLVD, SUITE 3, SANTA MONICA, CA 90404-1927
(310) 829-5475
(310) 828-1359
Mailing address
1908 SANTA MONICA BLVD, SUITE 3, SANTA MONICA, CA 90404-1927
(310) 829-5475
(310) 828-1359
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G6556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ348612
—
CA
Enumeration date
03/12/2007
Last updated
08/22/2020
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