| |
2001 Santa Monica Blvd, Suite 1060, Santa Monica, CA 90404-2102 | |
(310) 582-1940 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 2001 Santa Monica Blvd, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326453812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: () - | 2001 Santa Monica Blvd, Suite 1060, Santa Monica, CA 90404-2102 Ph: (310) 582-1940 |