Santa Monica Orthopaedic And Sports Medicine Group | |
2020 Santa Monica Blvd Suite 400 Santa Monica CA 90404-2023 | |
(310) 829-2663 | |
(310) 315-5620 |
Full Name | Santa Monica Orthopaedic And Sports Medicine Group |
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Speciality | Clinic/center |
Location | 2020 Santa Monica Blvd, Santa Monica, California |
Authorized Official Name and Position | M Ramin Modabber (PRESIDENT) |
Authorized Official Contact | 3108292663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Santa Monica Orthopaedic And Sports Medicine Group 2020 Santa Monica Blvd Suite 400 Santa Monica CA 90404-2023 Ph: (310) 829-2663 | Santa Monica Orthopaedic And Sports Medicine Group 2020 Santa Monica Blvd Suite 400 Santa Monica CA 90404-2023 Ph: (310) 829-2663 |
NPI Number | 1457423725 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 04/07/2010 |
Identifier | Type | State | Issuer |
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1457423725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 047467 (California) | Primary |
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Jimmy C. Huang, D.o. A Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 Phone: 310-828-1708 Fax: 310-828-1705 | |
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