Organization
PACIFIC INTEGRATIVE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELIE STEFFEN (OFFICE MANAGER)
(310) 453-8393
Entity
Organization
Contact information
Practice address
2400 BROADWAY, SUITE 520, SANTA MONICA, CA 90404-3030
(310) 453-8393
(310) 453-8696
Mailing address
2400 BROADWAY, SUITE 520, SANTA MONICA, CA 90404-3030
(310) 453-8393
(310) 453-8696
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
28098
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A108751
CA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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