| Philip M Bretsky Md Phd | |
|
1301 20th St Suite 230 Santa Monica CA 90404-2050 | |
| (310) 828-4411 | |
| Not Available |
| Full Name | Philip M Bretsky Md Phd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 20th St, Santa Monica, California |
| Authorized Official Name and Position | Philip M Bretsky (PRESIDENT) |
| Authorized Official Contact | 3108284411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip M Bretsky Md Phd 1301 20th St Suite 230 Santa Monica CA 90404-2050 Ph: (310) 828-4411 | Philip M Bretsky Md Phd 1301 20th St Suite 230 Santa Monica CA 90404-2050 Ph: (310) 828-4411 |
| NPI Number | 1952564304 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 12/19/2011 |
| Medicare PECOS PAC ID | 0143377671 |
|---|---|
| Medicare Enrollment ID | O20090420000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952564304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A99447 (California) | Primary |
| Provider Name | Philip Bretsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568683076 PECOS PAC ID: 0840352373 Enrollment ID: I20081217000599 |
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