| Mdsm Group Inc | |
|
2001 Santa Monica Blvd Ste 490w Santa Monica CA 90404-2127 | |
| (323) 459-1543 | |
| Not Available |
| Full Name | Mdsm Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 2001 Santa Monica Blvd Ste 490w, Santa Monica, California |
| Authorized Official Name and Position | Darren M Boyer (CEO) |
| Authorized Official Contact | 3234591543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdsm Group Inc 2001 Santa Monica Blvd Ste 490w Santa Monica CA 90404-2127 Ph: (323) 459-1543 | Mdsm Group Inc 2001 Santa Monica Blvd Ste 490w Santa Monica CA 90404-2127 Ph: (323) 459-1543 |
| NPI Number | 1497293682 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497293682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A111784 (California) | Primary |
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