| James L. Anastasi, M.d., Inc. | |
|
1301 20th St Suite 550 Santa Monica CA 90404-2050 | |
| (310) 829-3544 | |
| Not Available |
| Full Name | James L. Anastasi, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 20th St, Santa Monica, California |
| Authorized Official Name and Position | James L. Anastasi (OWNER) |
| Authorized Official Contact | 3108293544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James L. Anastasi, M.d., Inc. 1301 20th St Suite 550 Santa Monica CA 90404-2050 Ph: () - | James L. Anastasi, M.d., Inc. 1301 20th St Suite 550 Santa Monica CA 90404-2050 Ph: (310) 829-3544 |
| NPI Number | 1033417951 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/01/2011 |
| Medicare PECOS PAC ID | 3870778087 |
|---|---|
| Medicare Enrollment ID | O20110504000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033417951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C33376 (California) | Primary |
| Provider Name | James Anastasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649280074 PECOS PAC ID: 9335225945 Enrollment ID: I20110504000308 |
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